Johnson, Craig H

Johnson, Craig H is an individual health care provider with primary practice located at 280 Smith Ave N Ste 700 , Saint Paul MN 55102-2972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Johnson, Craig H can be contacted via phone (651) 241-3535.

Contact Information

Primary practice address
280 Smith Ave N Ste 700 Saint Paul MN 55102-2972
Phone: (651) 241-3535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 60797-20 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 30848 Minnesota

Profile Details

NPI number 1043299555
LBN Legal business name Johnson, Craig H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043299555 NPPES
Wisconsin MEDICAID 35175400
Wisconsin Other 240003573

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