Johnson, Brandon Rupert
Johnson, Brandon Rupert is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Brandon Rupert can be contacted via phone (608) 263-8340.Contact Information
Primary practice address
600 Highland Ave
Madison WI 53792-0001
Phone: (608) 263-8340
Fax: (608) 263-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 62149 | Wisconsin |
Profile Details
| NPI number | 1538396437 |
|---|---|
| LBN Legal business name | Johnson, Brandon Rupert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538396437 | NPPES |
| Wisconsin | MEDICAID | 100029730 |
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