Johnson, Michael Scott
Johnson, Michael Scott is an individual health care provider with primary practice located at 400 Selby Ave Suite N, Saint Paul MN 55102-4508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Michael Scott can be contacted via phone (651) 735-1088.Contact Information
Primary practice address
400 Selby Ave Suite N
Saint Paul MN 55102-4508
Phone: (651) 735-1088
Fax: (651) 735-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3989 | Minnesota |
Profile Details
| NPI number | 1407903875 |
|---|---|
| LBN Legal business name | Johnson, Michael Scott |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jan 20th, 2022 - about 2 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 | 1407903875 | NPPES |
| Minnesota | Other | 42D14FA | BCBS PROVIDER ID |
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