Swanson, John Michael

Swanson, John Michael is an sole proprietor health care provider with primary practice located at 1026 Grand Ave , Superior WI 54880-1755. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Swanson, John Michael can be contacted via phone (218) 428-9178.

Contact Information

Primary practice address
1026 Grand Ave Superior WI 54880-1755
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1605-154 Wisconsin

Profile Details

NPI number 1972777167
LBN Legal business name Swanson, John Michael
Credentials MA CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2008
Last updated Apr 17th, 2008 - 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

Identifiers

StateTypeNumberIssuer
All States NPI 1972777167 NPPES
Wisconsin MEDICAID 42563800

Popular Providers