Johnson, Alisa Kathleen

Johnson, Alisa Kathleen is an individual health care provider with primary practice located at 601 S Center Ave , Merrill WI 54452-3404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Johnson, Alisa Kathleen can be contacted via phone (262) 338-6176.

Contact Information

Primary practice address
601 S Center Ave Merrill WI 54452-3404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0057838 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 55894-20 Wisconsin

Profile Details

NPI number 1033256052
LBN Legal business name Johnson, Alisa Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 4th, 2021 - about 5 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 1033256052 NPPES
Wisconsin Other 000037070 MEDICARE PTAN

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