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Contact Information

AMY L JOHNSON, ABO
11505 ULYSSES ST NE
BLAINE, MN55434-4239
 Phone: 763-354-5399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for AMY L JOHNSON · (Female)

NPI # 1629848791
Status Active
Credentials ABO
Entity Individual
Enumeration date 01/08/2024
Last updated 01/08/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 202432
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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