Johnson, Joel J
Johnson, Joel J is an individual health care provider with primary practice located at 115 Vivian St. , Park River ND 58270-4540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Joel J can be contacted via phone (701) 284-7555.Contact Information
Primary practice address
115 Vivian St.
Park River ND 58270-4540
Phone: (701) 284-7555
Fax: (701) 284-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6967 | North Dakota |
Profile Details
| NPI number | 1528138542 |
|---|---|
| LBN Legal business name | Johnson, Joel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 8th, 2021 - 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 | 1528138542 | NPPES |
| North Dakota | MEDICAID | 18084 |
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