Johnson, Gregory M

Johnson, Gregory M is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Johnson, Gregory M can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3084 Minnesota
Nursing Service Providers / Registered Nurse 163W00000X R 223267-2 Minnesota

Profile Details

NPI number 1437554482
LBN Legal business name Johnson, Gregory M
Credentials APRN,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2014
Last updated Feb 25th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437554482 NPPES
Minnesota MEDICAID 1437554482

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