Johnson, Thea Angela

Johnson, Thea Angela is an individual health care provider with primary practice located at 1506 S Oneida St St. Elizabeth Hospital, 4N, Appleton WI 54915-1305. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Johnson, Thea Angela can be contacted via phone (920) 831-1284.

Contact Information

Primary practice address
1506 S Oneida St St. Elizabeth Hospital, 4N Appleton WI 54915-1305
Phone: (920) 831-1284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1538312954
LBN Legal business name Johnson, Thea Angela
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Jul 29th, 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.

Request for update

Popular Providers