Johnson, Bringa M.
Johnson, Bringa M. is an individual health care provider with primary practice located at 1504 Madison Ave , Fort Atkinson WI 53538-3100. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Bringa M. can be contacted via phone (920) 563-9357.Contact Information
Primary practice address
1504 Madison Ave
Fort Atkinson WI 53538-3100
Phone: (920) 563-9357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-017695 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7603 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11230-024 | Wisconsin |
Profile Details
| NPI number | 1174759328 |
|---|---|
| LBN Legal business name | Johnson, Bringa M. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2009 |
| Last updated | Nov 1st, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174759328 | NPPES |
| Wisconsin | MEDICAID | 1174759328 |
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