Johnson, Robert George
Johnson, Robert George is an individual health care provider with primary practice located at 101 Willmar Ave Sw , Willmar MN 56201-3556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Johnson, Robert George can be contacted via phone (320) 231-5000.Contact Information
Primary practice address
101 Willmar Ave Sw
Willmar MN 56201-3556
Phone: (320) 231-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 67607 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M-16101 | Idaho |
Profile Details
| NPI number | 1891182341 |
|---|---|
| LBN Legal business name | Johnson, Robert George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2015 |
| Last updated | Jul 1st, 2024 - about last year |
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 | 1891182341 | NPPES |
| Idaho | MEDICAID | 1891182341 |
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