Johnson, Jacob

Johnson, Jacob is an individual health care provider with primary practice located at 405 Stageline Rd , Hudson WI 54016-7848. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, Jacob can be contacted via phone (715) 531-6000.

Contact Information

Primary practice address
405 Stageline Rd Hudson WI 54016-7848
Phone: (715) 531-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101022137 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 71536-21 Wisconsin

Profile Details

NPI number 1689055154
LBN Legal business name Johnson, Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Oct 13th, 2022 - about 4 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.

Request for update

Popular Providers