Johnson, Mariah
Johnson, Mariah is an individual health care provider with primary practice located at 2400 Foxglove Way Ste 1 , Hudson WI 54016-4537. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Johnson, Mariah can be contacted via phone (715) 386-9711.Contact Information
Primary practice address
2400 Foxglove Way Ste 1
Hudson WI 54016-4537
Phone: (715) 386-9711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6001464-15 | Wisconsin |
Profile Details
| NPI number | 1497597645 |
|---|---|
| LBN Legal business name | Johnson, Mariah |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2024 |
| Last updated | Jun 10th, 2024 - about 2 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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