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Contact Information

STACEY BERGER JOHNSON
2910 7TH ST SW
MINOT, ND58701-7025
 Phone: 701-833-1246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for STACEY BERGER JOHNSON · (Female)

NPI # 1407267990
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2014
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 1729
  • ND License # 876-6-1-16-331
Hospital affiliation(s) Not Available
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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