Johnson, Jill M

Johnson, Jill M is an individual health care provider with primary practice located at 7600 France Ave S Ste 4100 , Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Jill M can be contacted via phone (952) 831-1551.

Contact Information

Primary practice address
7600 France Ave S Ste 4100 Edina MN 55435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42917 Minnesota

Profile Details

NPI number 1245209584
LBN Legal business name Johnson, Jill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 18th, 2018 - about 7 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 1245209584 NPPES
Other 080184793 RAILROAD MEDICARE
Other 63G80JO RAILROAD MEDICARE

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