Johnson, Maureen Anne
Johnson, Maureen Anne is an individual health care provider with primary practice located at 210 Wood Lake Dr Se Suite B, Rochester MN 55904-5529. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Johnson, Maureen Anne can be contacted via phone (507) 424-1040.Contact Information
Primary practice address
210 Wood Lake Dr Se Suite B
Rochester MN 55904-5529
Phone: (507) 424-1040
Fax: (507) 424-1042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H3878 | Minnesota |
Profile Details
| NPI number | 1497822985 |
|---|---|
| LBN Legal business name | Johnson, Maureen Anne |
| Credentials | RDH CDHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jun 13th, 2008 - about 17 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 | 1497822985 | NPPES |
| Minnesota | Other | 030993100 | MA PROVIDER # |
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