Johnson, Pamela E
Johnson, Pamela E is an sole proprietor health care provider with primary practice located at N1487 Brave Island Rd , Keshena WI 54135-9325. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Pamela E can be contacted via phone (920) 941-0395.Contact Information
Primary practice address
N1487 Brave Island Rd
Keshena WI 54135-9325
Phone: (920) 941-0395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 78631-030 | Wisconsin |
Profile Details
| NPI number | 1922246628 |
|---|---|
| LBN Legal business name | Johnson, Pamela E |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Feb 3rd, 2009 - about 17 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 | 1922246628 | NPPES |
| Wisconsin | MEDICAID | 38291800 |
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