IndividualActive
Craig Johnson
NPI 1376154708 · Home Modifications Contractor · Apple Valley, MN
Provider details
- NPI number
- 1376154708
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- BC629235 (MN)
Practice location
8103 Upper 129th Ct
Apple Valley, MN 55124-6283
Phone: (612) 282-8286
Mailing address
8103 Upper 129th Ct
Apple Valley, MN 55124-6283
Registry dates
- Enumerated
- 2020-08-10
- Last updated
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.