Johnson, Sandra L

Johnson, Sandra L is an individual health care provider with primary practice located at 610 30Th Ave W Alexandria Clinic, Alexandria MN 56308-3426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Sandra L can be contacted via phone (320) 763-5123.

Contact Information

Primary practice address
610 30Th Ave W Alexandria Clinic Alexandria MN 56308-3426
Fax: (320) 763-7883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30009 Minnesota

Profile Details

NPI number 1255311650
LBN Legal business name Johnson, Sandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 9th, 2013 - about 12 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 1255311650 NPPES
Minnesota Other 080130599 RR MEDICARE
Minnesota MEDICAID 135880400 RR MEDICARE

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