Johnson, Terri Sue
Johnson, Terri Sue is an individual health care provider with primary practice located at 14001 Ridgedale Dr Ste 200, Minnetonka MN 55305-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Terri Sue can be contacted via phone (952) 249-2000.Contact Information
Primary practice address
14001 Ridgedale Dr Ste 200
Minnetonka MN 55305-1753
Phone: (952) 249-2000
Fax: (952) 249-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28943 | Minnesota |
Profile Details
| NPI number | 1225035710 |
|---|---|
| LBN Legal business name | Johnson, Terri Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Apr 30th, 2008 - about 16 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 | 1225035710 | NPPES |
| Minnesota | MEDICAID | 569885500 |
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