Johnson, Jill B
Johnson, Jill B is an individual health care provider with primary practice located at 7760 France Ave S Suite 310, Minneapolis MN 55435-5800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Johnson, Jill B can be contacted via phone (952) 897-1175.Contact Information
Primary practice address
7760 France Ave S Suite 310
Minneapolis MN 55435-5800
Phone: (952) 897-1175
Fax: (952) 897-1178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 35138 | Minnesota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35138 | Minnesota |
Profile Details
| NPI number | 1538157607 |
|---|---|
| LBN Legal business name | Johnson, Jill B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 20th, 2020 - about 4 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 | 1538157607 | NPPES |
| Wisconsin | MEDICAID | 31782200 | |
| Wisconsin | MEDICAID | 227095100 |
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