Johnson, Donald Edward

Johnson, Donald Edward is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Donald Edward can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5710
Fax: (763) 586-5888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20360 Minnesota

Profile Details

NPI number 1851354815
LBN Legal business name Johnson, Donald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 20th, 2012 - about 12 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 1851354815 NPPES
Minnesota Other 103271 UCARE MN
Minnesota Other 0113604 UCARE MN
Minnesota Other 08046JO UCARE MN
Minnesota MEDICAID 933080100 UCARE MN
Minnesota Other 6603885 UCARE MN
Minnesota Other 23227 UCARE MN
Minnesota Other HP19910 UCARE MN
Minnesota Other 1000886 UCARE MN
Minnesota Other 4044543 UCARE MN

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