Johnson, Julie Ann
Johnson, Julie Ann is an individual health care provider with primary practice located at 7251 Excelsior Rd , Baxter MN 56425-8477. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Julie Ann can be contacted via phone (218) 454-0878.Contact Information
Primary practice address
7251 Excelsior Rd
Baxter MN 56425-8477
Phone: (218) 454-0878
Fax: (218) 454-0879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12568 | Minnesota |
Profile Details
| NPI number | 1083631576 |
|---|---|
| LBN Legal business name | Johnson, Julie Ann |
| Credentials | MS, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 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 | 1083631576 | NPPES |
| Minnesota | MEDICAID | 456385900 |
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