Johnson, Shannon
Johnson, Shannon is an sole proprietor health care provider with primary practice located at 111 E Washington St , West Bend WI 53095-2571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Shannon can be contacted via phone (262) 338-2717.Contact Information
Primary practice address
111 E Washington St
West Bend WI 53095-2571
Phone: (262) 338-2717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 18294-33 | Wisconsin |
Profile Details
| NPI number | 1184568123 |
|---|---|
| LBN Legal business name | Johnson, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2026 |
| Last updated | Apr 20th, 2026 - about 7 months 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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