Johnson, Richard Todd

Johnson, Richard Todd is an individual health care provider with primary practice located at 915 E 1St St , Duluth MN 55805-2107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Richard Todd can be contacted via phone (218) 249-5555.

Contact Information

Primary practice address
915 E 1St St Duluth MN 55805-2107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34537 Minnesota

Profile Details

NPI number 1942254784
LBN Legal business name Johnson, Richard Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942254784 NPPES
Minnesota MEDICAID 908514900

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