Johnson, Sara
Johnson, Sara is an sole proprietor health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Johnson, Sara can be contacted via phone (612) 273-8383.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (612) 273-8383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 1944 | Minnesota |
Profile Details
| NPI number | 1699714923 |
|---|---|
| LBN Legal business name | Johnson, Sara |
| Credentials | RD, LD, CDCES |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Sep 26th, 2023 - 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 | 1699714923 | NPPES |
| Minnesota | Other | 900233283 | RR MEDICARE |
| Minnesota | Other | 6300309 | RR MEDICARE |
| Minnesota | Other | 2182695 | RR MEDICARE |
| Minnesota | Other | 6300309 | RR MEDICARE |
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