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Contact Information

CAROL J JOHNSON, MD
1702 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-364-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CAROL J JOHNSON · (Female)

NPI # 1679535991
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2006
Last updated 10/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 45735
  • MN License # 45749
  • ND License # 15917
  • MN Medicaid 607632700
  • WI Medicaid 34407600
  • MN Other 1882619 AMERICA'S PPO
  • MN Other 072K4J0 BLUE CROSS
  • MN Other 2110090 FIRST HEALTH GROUP
  • MN Other 607632700 GROUP HEALTH EAU CLAIRE
  • MN Other HP38799 HEALTH PARTNERS
  • MN Other 01-18712 MEDICA
  • MN Other 66-06190 MEDICA URGENT CARE
  • MN Other NA9141035345 PREFERRED ONE
  • MN Other P00047499 RAILROAD MEDICARE
  • MN Other 171680 UCARE MINNESOTA
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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