Johnson, Devin J
Johnson, Devin J is an individual health care provider with primary practice located at 516 Montgomery St , Decorah IA 52101-2720. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Johnson, Devin J can be contacted via phone (563) 382-4770.Contact Information
Primary practice address
516 Montgomery St
Decorah IA 52101-2720
Phone: (563) 382-4770
Fax: (563) 382-4785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 03097 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 03097 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 03097 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 03097 | Iowa |
Profile Details
| NPI number | 1891737755 |
|---|---|
| LBN Legal business name | Johnson, Devin J |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 3rd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891737755 | NPPES |
| Minnesota | Other | 36G94JO | BLUE CROSS BLUE SHEILD |
| Minnesota | Other | 36G94JO | BLUE CROSS BLUE SHEILD |
| Minnesota | Other | 34706 | BLUE CROSS BLUE SHEILD |
| Minnesota | Other | 421470451 | BLUE CROSS BLUE SHEILD |
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