Johnson, Julie M

Johnson, Julie M is an individual health care provider with primary practice located at 1511 Northway Dr Ste 103, Saint Cloud MN 56303-1262. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Julie M can be contacted via phone (320) 227-5000.

Contact Information

Primary practice address
1511 Northway Dr Ste 103 Saint Cloud MN 56303-1262
Phone: (320) 227-5000
Fax: (320) 227-5025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45006 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45006 Minnesota

Profile Details

NPI number 1235105388
LBN Legal business name Johnson, Julie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 7th, 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 1235105388 NPPES
Minnesota MEDICAID 040993600

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