Johnson, Niel A

Johnson, Niel A is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Niel A can be contacted via phone (262) 641-8400.

Contact Information

Primary practice address
16985 W Bluemound Rd Brookfield WI 53005-5909
Phone: (262) 641-8400
Fax: (910) 369-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35197 Wisconsin

Profile Details

NPI number 1649233255
LBN Legal business name Johnson, Niel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated May 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649233255 NPPES
Wisconsin MEDICAID 100044449

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