Johnson, Eric Austin
Johnson, Eric Austin is an sole proprietor health care provider with primary practice located at 202 N 24Th Ave E , Duluth MN 55812-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, Eric Austin can be contacted via phone (320) 983-5728.Contact Information
Primary practice address
202 N 24Th Ave E
Duluth MN 55812-1859
Phone: (320) 983-5728
Fax: (218) 481-0325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 41189 | Minnesota |
Profile Details
| NPI number | 1750464640 |
|---|---|
| LBN Legal business name | Johnson, Eric Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jan 2nd, 2020 - about 5 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 | 1750464640 | NPPES |
| Minnesota | MEDICAID | 703522500 |
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