Johnson, Stacy Ryan

Johnson, Stacy Ryan is an individual health care provider with primary practice located at 7527 Mitchell Road 100, Eden Prairie MN 55344. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Johnson, Stacy Ryan can be contacted via phone (952) 228-2282.

Contact Information

Primary practice address
7527 Mitchell Road 100 Eden Prairie MN 55344
Phone: (952) 228-2282
Fax: (952) 224-2284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2290 Minnesota

Profile Details

NPI number 1588844898
LBN Legal business name Johnson, Stacy Ryan
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Apr 25th, 2024 - about 7 months 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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