Paulson, Justin Eric

Paulson, Justin Eric is an individual health care provider with primary practice located at 970 S Silver Lake St Ste 102 , Oconomowoc WI 53066-3802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Paulson, Justin Eric can be contacted via phone (262) 569-7100.

Contact Information

Primary practice address
970 S Silver Lake St Ste 102 Oconomowoc WI 53066-3802
Phone: (262) 569-7100
Fax: (262) 567-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 2011-00770 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 100986-875 Wisconsin

Profile Details

NPI number 1316112667
LBN Legal business name Paulson, Justin Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Feb 23rd, 2024 - about 2 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 1316112667 NPPES
North Carolina MEDICAID 1316112667
North Carolina Other 19EX0

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