Johnson, Michael L

Johnson, Michael L is an sole proprietor health care provider with primary practice located at 621 Science Dr , Madison WI 53711-1074. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Johnson, Michael L can be contacted via phone (608) 265-8349.

Contact Information

Primary practice address
621 Science Dr Madison WI 53711-1074
Phone: (608) 265-8349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 50-039 Wisconsin
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 1853-046 Wisconsin

Profile Details

NPI number 1821018987
LBN Legal business name Johnson, Michael L
Credentials LMT, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated May 21st, 2014 - about 11 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

Identifiers

StateTypeNumberIssuer
All States NPI 1821018987 NPPES
Wisconsin Other 1853-046 CERT MASSAGE THERAPIST
Wisconsin Other 50-039 CERT MASSAGE THERAPIST

Popular Providers