Johnson, Kara Durick
Johnson, Kara Durick is an individual health care provider with primary practice located at 12771 Riverdale Blvd Nw Suite 103, Coon Rapids MN 55448-1262. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Kara Durick can be contacted via phone (763) 421-1220.Contact Information
Primary practice address
12771 Riverdale Blvd Nw Suite 103
Coon Rapids MN 55448-1262
Phone: (763) 421-1220
Fax: (763) 421-1291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2732 | Minnesota |
Profile Details
| NPI number | 1710079892 |
|---|---|
| LBN Legal business name | Johnson, Kara Durick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 28th, 2014 - about 10 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 | 1710079892 | NPPES |
| Minnesota | Other | 131053 | UCARE |
| Minnesota | Other | 2200839 | UCARE |
| Minnesota | Other | 005323600 | UCARE |
| Minnesota | Other | 04S60DU | UCARE |
| Minnesota | Other | 847271021774 | UCARE |
| Minnesota | Other | 2200840 | UCARE |
| Minnesota | Other | 921871021774 | UCARE |
| Minnesota | Other | 30187 | UCARE |
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