Johnson, Michael A
Johnson, Michael A is an individual health care provider with primary practice located at 801 S 70Th St , West Allis WI 53214-3147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, Michael A can be contacted via phone (414) 773-6600.Contact Information
Primary practice address
801 S 70Th St
West Allis WI 53214-3147
Phone: (414) 773-6600
Fax: (414) 773-6656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38024 | Wisconsin |
Profile Details
| NPI number | 1366403743 |
|---|---|
| LBN Legal business name | Johnson, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jun 18th, 2012 - about 13 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 | 1366403743 | NPPES |
| Wisconsin | MEDICAID | 32485000 |
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