Johnson, Denver L
Johnson, Denver L is an individual health care provider with primary practice located at 2900 Saint Anthony Dr , Green Bay WI 54311-5859. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johnson, Denver L can be contacted via phone (920) 391-6940.Contact Information
Primary practice address
2900 Saint Anthony Dr
Green Bay WI 54311-5859
Phone: (920) 391-6940
Fax: (920) 391-4811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1684 | Wisconsin |
Profile Details
| NPI number | 1871693739 |
|---|---|
| LBN Legal business name | Johnson, Denver L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1871693739 | NPPES |
| Wisconsin | MEDICAID | 39102700 | |
| Wisconsin | Other | 510142673019 |
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