Jill B Johnson is a Retina Specialist in Edina, Minnesota. Jill B Johnson practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Jill B Johnson is 1538157607. The last update date is 2020-08-20.
Jill B Johnson's current location address is 3601 W 76th St, Edina, Minnesota. You can contact this provider via phone number 9528971175 and fax number 9528971178. The mailing address for Jill B Johnson is 3601 W 76th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill B Johnson |
|---|---|
| Address | 3601 W 76th St, Edina, Minnesota |
| Phone Number | 9528971175 |
| Fax Number | 9528971178 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538157607 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 3601 W 76th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554353004 |
| Phone Number | 9528971175 |
| Fax Number | 9528971178 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 35138 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31782200 | WI | -- | |
| 227095100 | MN | -- |
Post Comment/ Review Below
What is the Jill B Johnson's 1538157607?
The Jill B Johnson's NPI (National Provider Identifier) Number is 1538157607. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jill B Johnson's physical address?
The Jill B Johnson is physically located at 3601 W 76Th St, in the city of Edina, MN, with the postal code 554353004.
What is Jill B Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jill B Johnson is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
When was the Jill B Johnson's 1538157607 issued?
The Jill B Johnson's 1538157607 was issued on 2005-10-12.
When was the information regarding Jill B Johnson most recently updated?
The details pertaining to the Jill B Johnson, including its address, specialty, and other relevant information, were last refreshed on 2020-08-20.