Terrance L Johnson in Bemidji - Specialist
Terrance L Johnson - NPI 1194721290
Terrance L Johnson is a Specialist in Bemidji, Minnesota. Terrance L Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Terrance L Johnson is 1194721290. The last update date is 2022-04-06.
Terrance L Johnson's current location address is 3807 Greenleaf Ave Nw, Bemidji, Minnesota. You can contact this provider via phone number 2187519746 and fax number 2183334776. The mailing address for Terrance L Johnson is 3807 Greenleaf Ave Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terrance L Johnson |
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Address | 3807 Greenleaf Ave Nw, Bemidji, Minnesota |
Phone Number | 2187519746 |
Fax Number | 2183334776 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1194721290 |
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Provider Enumeration Date | 2005-06-23 |
Last Updated Date | 2022-04-06 |
Provider Mailing Address Detail
Address | 3807 Greenleaf Ave Nw |
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City | Bemidji |
State | Minnesota (MN) |
Post Code | 566015817 |
Phone Number | 2187519746 |
Fax Number | 2183334776 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 22385 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
437562900 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Terrance L Johnson?
The Terrance L Johnson has been issued the NPI (National Provider Identifier) 1194721290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Terrance L Johnson's physical address?
The Terrance L Johnson is physically located at 3807 Greenleaf Ave Nw, in the city of Bemidji, MN, with the postal code 566015817.
What is Terrance L Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Terrance L Johnson's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did the Terrance L Johnson receive its 1194721290?
The Terrance L Johnson was issued its 1194721290 on 2005-06-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Terrance L Johnson last refreshed?
The information related to the Terrance L Johnson, including its address, specialty, and other relevant details, was last updated on 2022-04-06.