Johnson, Bradley F

Johnson, Bradley F is an individual health care provider with primary practice located at 824 Illinois Ave , Stevens Point WI 54481-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Bradley F can be contacted via phone (715) 346-5000.

Contact Information

Primary practice address
824 Illinois Ave Stevens Point WI 54481-3112
Phone: (715) 346-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23980 Wisconsin

Profile Details

NPI number 1386681393
LBN Legal business name Johnson, Bradley F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 15th, 2012 - about 14 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 1386681393 NPPES
Wisconsin MEDICAID 31412400

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