Johnson, Madison

Johnson, Madison is an individual health care provider with primary practice located at 4214 Sheridan Rd , Mount Pleasant WI 53403-4142. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Madison can be contacted via phone (262) 554-5006.

Contact Information

Primary practice address
4214 Sheridan Rd Mount Pleasant WI 53403-4142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5203154 Wisconsin

Profile Details

NPI number 1104550474
LBN Legal business name Johnson, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104550474 NPPES
Wisconsin Other 14380102 ASHA NUMBER
Wisconsin Other 5203154 ASHA NUMBER

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