Johnson, Dominique
Johnson, Dominique is an sole proprietor health care provider with primary practice located at 6809 Timber Ridge Dr S , Cottage Grove MN 55016-4776. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Johnson, Dominique can be contacted via phone (612) 513-3778.Contact Information
Primary practice address
6809 Timber Ridge Dr S
Cottage Grove MN 55016-4776
Phone: (612) 513-3778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 2469227 | Minnesota |
Profile Details
| NPI number | 1558030544 |
|---|---|
| LBN Legal business name | Johnson, Dominique |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Sep 13th, 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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