Johnson Davis, Dinina

Johnson Davis, Dinina is an sole proprietor health care provider with primary practice located at 1615 S 4Th St , Minneapolis MN 55454-1155. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Johnson Davis, Dinina can be contacted via phone (952) 688-9499.

Contact Information

Primary practice address
1615 S 4Th St Minneapolis MN 55454-1155
Phone: (952) 688-9499
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 7374559 Minnesota

Profile Details

NPI number 1720654056
LBN Legal business name Johnson Davis, Dinina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2021
Last updated May 27th, 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 1720654056 NPPES
Minnesota MEDICAID 7374559

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