Provider Demographics
NPI:1437340874
Name:JOHNSON BROS. GOLF CARS INC.
Entity Type:Organization
Organization Name:JOHNSON BROS. GOLF CARS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-383-1215
Mailing Address - Street 1:14160 54TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BLOOMING PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55917-7949
Mailing Address - Country:US
Mailing Address - Phone:507-383-1215
Mailing Address - Fax:507-583-7498
Practice Address - Street 1:14160 54TH AVE SE
Practice Address - Street 2:
Practice Address - City:BLOOMING PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55917-7949
Practice Address - Country:US
Practice Address - Phone:507-383-1215
Practice Address - Fax:507-583-7498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment