GORDON DEAN JOHNSON - NPI 1053588004 - Technician in Crookston, MN

Q: What is Gordon Johnson's NPI number?

The NPI number for Gordon Johnson is 1053588004. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Q: What is Gordon Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Johnson was last updated on May 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Gordon Dean Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON DEAN JOHNSON (NPI 1053588004) is an individual personal care attendant in Crookston, Minnesota and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1053588004

Entity TypeIndividualMale

Primary Taxonomy3747P1801X

Provider Legal NameGORDON DEAN JOHNSON

Location Address27885 170TH AVE SWCrookston, MN 56716-9444

Mailing Address27885 170th Ave SwCrookston, MN 56716-9444 · (218) 281-3506 · Fax (218) 281-3015

Phone(218) 281-3506

Fax(218) 281-3015

Sole ProprietorNo

Enumeration DateMay 9, 2008

✔ NPI 1053588004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

27885 170TH AVE SW, Crookston, MN 56716

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