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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538157607 NPPES
Wisconsin MEDICAID 31782200
Wisconsin MEDICAID 227095100

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