Johnson, Craig Joel

Johnson, Craig Joel is an sole proprietor health care provider with primary practice located at 214 Elkhorn Rd , Williams Bay WI 53191-9514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Johnson, Craig Joel can be contacted via phone (262) 245-2600.

Contact Information

Primary practice address
214 Elkhorn Rd Williams Bay WI 53191-9514
Phone: (262) 245-2600
Fax: (262) 245-6600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29092 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Illinois

Profile Details

NPI number 1184751349
LBN Legal business name Johnson, Craig Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184751349 NPPES
Wisconsin MEDICAID 31398400

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