Johnson, Roger A
Johnson, Roger A is an sole proprietor health care provider with primary practice located at 2233 Hamline Ave N Suite# 402, Roseville MN 55113-5009. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Roger A can be contacted via phone (651) 634-4002.Contact Information
Primary practice address
2233 Hamline Ave N Suite# 402
Roseville MN 55113-5009
Phone: (651) 634-4002
Fax: (651) 634-4084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 017731 | Minnesota |
Profile Details
| NPI number | 1841353596 |
|---|---|
| LBN Legal business name | Johnson, Roger A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1841353596 | NPPES |
| Minnesota | Other | 28598AN | BCBS PROVIDER ID |
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