Johanson, John F.
Johanson, John F. is an individual health care provider with primary practice located at 1905 E, Huebbe Parkway Beloit Health System, Inc, Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Johanson, John F. can be contacted via phone (608) 364-1460.Contact Information
Primary practice address
1905 E, Huebbe Parkway Beloit Health System, Inc
Beloit WI 53511-1842
Phone: (608) 364-1460
Fax: (608) 364-1455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 27679-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-082777 | Illinois |
Profile Details
| NPI number | 1477549699 |
|---|---|
| LBN Legal business name | Johanson, John F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Oct 19th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477549699 | NPPES |
| Illinois | MEDICAID | 036082777 | |
| Illinois | MEDICAID | 1477549699 |
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