Johansen, Wesley Michael
Johansen, Wesley Michael is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033-5918. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Johansen, Wesley Michael can be contacted via phone (404) 501-1000.Contact Information
Primary practice address
2701 N Decatur Rd
Decatur GA 30033-5918
Phone: (404) 501-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 7697 | Georgia |
Profile Details
| NPI number | 1174904064 |
|---|---|
| LBN Legal business name | Johansen, Wesley Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jul 26th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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