Johnson, Elaine K
Johnson, Elaine K is an sole proprietor health care provider with primary practice located at 6607 18Th Ave S Suite 101, Richfield MN 55423-2784. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Elaine K can be contacted via phone (612) 798-7373.Contact Information
Primary practice address
6607 18Th Ave S Suite 101
Richfield MN 55423-2784
Phone: (612) 798-7373
Fax: (612) 243-3615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 67372700 | Minnesota |
Profile Details
| NPI number | 1750426979 |
|---|---|
| LBN Legal business name | Johnson, Elaine K |
| Credentials | LP, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750426979 | NPPES |
| Minnesota | Other | 67372700 | MN HEALTHCARE PROGRAM NO. |
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