Johnson, Roger Lee

Johnson, Roger Lee is an individual health care provider with primary practice located at 151 S 4Th St Suite 401, Grand Forks ND 58201-4715. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Roger Lee can be contacted via phone (701) 795-3000.

Contact Information

Primary practice address
151 S 4Th St Suite 401 Grand Forks ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 78 North Dakota

Profile Details

NPI number 1306880885
LBN Legal business name Johnson, Roger Lee
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1306880885 NPPES
North Dakota Other 005333 BCBS ND PROVIDER NUMBER
North Dakota MEDICAID 054519 BCBS ND PROVIDER NUMBER
North Dakota Other 50B57JO BCBS ND PROVIDER NUMBER

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