Johnson, Therese Ann
Johnson, Therese Ann is an individual health care provider with primary practice located at 3267 S 16Th Street Ems Office, Milwaukee WI 53215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Therese Ann can be contacted via phone (414) 647-5203.Contact Information
Primary practice address
3267 S 16Th Street Ems Office
Milwaukee WI 53215
Phone: (414) 647-5203
Fax: (414) 647-5203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 674-023 | Wisconsin |
Profile Details
| NPI number | 1326081316 |
|---|---|
| LBN Legal business name | Johnson, Therese Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1326081316 | NPPES |
| Wisconsin | Other | 674-023 | WISCONSIN STATE LICENSE |
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