Johanson, Luke A.

Johanson, Luke A. is an individual health care provider with primary practice located at 515 22Nd Avenue Monroe Clinic, Monroe WI 53566-1569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johanson, Luke A. can be contacted via phone (608) 324-2222.

Contact Information

Primary practice address
515 22Nd Avenue Monroe Clinic Monroe WI 53566-1569
Phone: (608) 324-2222
Fax: (740) 333-5171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14520.NP Ohio

Profile Details

NPI number 1942649850
LBN Legal business name Johanson, Luke A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Dec 21st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942649850 NPPES
Ohio MEDICAID 0098667

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