Johnson, Thomas A

Johnson, Thomas A is an individual health care provider with primary practice located at 17000 W North Ave Suite 200E, Brookfield WI 53005-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Thomas A can be contacted via phone (262) 782-4270.

Contact Information

Primary practice address
17000 W North Ave Suite 200E Brookfield WI 53005-4423
Phone: (262) 782-4270
Fax: (262) 784-9319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26997 Wisconsin

Profile Details

NPI number 1891762852
LBN Legal business name Johnson, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 22nd, 2011 - about 15 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 1891762852 NPPES
Wisconsin MEDICAID 30812100

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