Johnson, Nicholas C

Johnson, Nicholas C is an individual health care provider with primary practice located at 800 E 28Th St # Mr 11112 , Minneapolis MN 55407-3723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Nicholas C can be contacted via phone (612) 863-4233.

Contact Information

Primary practice address
800 E 28Th St # Mr 11112 Minneapolis MN 55407-3723
Phone: (612) 863-4233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46217 Minnesota

Profile Details

NPI number 1396711446
LBN Legal business name Johnson, Nicholas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396711446 NPPES
Minnesota MEDICAID 941453300

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