Johnson, Philip Quentin
Johnson, Philip Quentin is an individual health care provider with primary practice located at 2829 University Dr S Suite 202, Fargo ND 58103-6050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Philip Quentin can be contacted via phone (701) 478-0307.Contact Information
Primary practice address
2829 University Dr S Suite 202
Fargo ND 58103-6050
Phone: (701) 478-0307
Fax: (701) 478-0309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 6195 | North Dakota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34857 | Minnesota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25154 | Arizona |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 6195 | North Dakota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 34857 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25154 | Arizona |
Profile Details
| NPI number | 1366494809 |
|---|---|
| LBN Legal business name | Johnson, Philip Quentin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 30th, 2015 - about 9 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 | 1366494809 | NPPES |
| North Dakota | MEDICAID | 16785 |
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