Johnson, Jeffrey Randall

Johnson, Jeffrey Randall is an individual health care provider with primary practice located at 3931 Louisiana Ave S , St Louis Park MN 55426-5000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Johnson, Jeffrey Randall can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
3931 Louisiana Ave S St Louis Park MN 55426-5000
Phone: (952) 993-3123
Fax: (612) 630-8242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56938 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 56938 Minnesota

Profile Details

NPI number 1659548162
LBN Legal business name Johnson, Jeffrey Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Jul 23rd, 2019 - 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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