Johnson, Leah K

Johnson, Leah K is an individual health care provider with primary practice located at 300 3Rd Ave Se Suite 405, Rochester MN 55904-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Johnson, Leah K can be contacted via phone (507) 288-8544.

Contact Information

Primary practice address
300 3Rd Ave Se Suite 405 Rochester MN 55904-4619
Fax: (507) 288-8545
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP0946106 Minnesota

Profile Details

NPI number 1124105143
LBN Legal business name Johnson, Leah K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 26th, 2014 - about 11 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 1124105143 NPPES
Minnesota MEDICAID 421521400

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