Johnson, Rodger L

Johnson, Rodger L is an individual health care provider with primary practice located at 1580 Beam Ave , Maplewood MN 55109-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Johnson, Rodger L can be contacted via phone (651) 779-7978.

Contact Information

Primary practice address
1580 Beam Ave Maplewood MN 55109-1127
Phone: (651) 779-7978
Fax: (651) 779-7656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 18580 Minnesota

Profile Details

NPI number 1558330134
LBN Legal business name Johnson, Rodger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558330134 NPPES
Minnesota Other 23257 AMERICA'S PPO
Minnesota Other 3600784 AMERICA'S PPO
Minnesota Other 105481 AMERICA'S PPO
Minnesota MEDICAID 61275900 AMERICA'S PPO
Minnesota Other HP13626 AMERICA'S PPO
Minnesota Other 0010102 AMERICA'S PPO
Minnesota Other 8T422JO AMERICA'S PPO

Popular Providers