Johnson, Nicole
Johnson, Nicole is an sole proprietor health care provider with primary practice located at 5707 Highway 7 Apt 107 , St Louis Park MN 55416-2391. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Johnson, Nicole can be contacted via phone (651) 408-2624.Contact Information
Primary practice address
5707 Highway 7 Apt 107
St Louis Park MN 55416-2391
Phone: (651) 408-2624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3297 | Minnesota |
Profile Details
| NPI number | 1679169882 |
|---|---|
| LBN Legal business name | Johnson, Nicole |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2020 |
| Last updated | Dec 12th, 2020 - about 4 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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