Johnson, Jerald

Johnson, Jerald is an individual health care provider with primary practice located at 1618 E Gateway Cir S Apt 301, Fargo ND 58103-3657. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as his primary health care specialty. Johnson, Jerald can be contacted via phone (612) 384-0964.

Contact Information

Primary practice address
1618 E Gateway Cir S Apt 301 Fargo ND 58103-3657
Phone: (612) 384-0964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X 04200308 Minnesota

Profile Details

NPI number 1669856225
LBN Legal business name Johnson, Jerald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Jul 14th, 2015 - about 10 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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