Johnson, Daniel Leroy
Johnson, Daniel Leroy is an individual health care provider with primary practice located at 2321 Stout Rd , Menomonie WI 54751-7003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Daniel Leroy can be contacted via phone (715) 235-5531.Contact Information
Primary practice address
2321 Stout Rd
Menomonie WI 54751-7003
Phone: (715) 235-5531
Fax: (715) 233-7645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21494-020 | Wisconsin |
Profile Details
| NPI number | 1174565261 |
|---|---|
| LBN Legal business name | Johnson, Daniel Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174565261 | NPPES |
| Wisconsin | MEDICAID | 30185400 |
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