Johnson, Deborah L
Johnson, Deborah L is an individual health care provider with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Johnson, Deborah L can be contacted via phone (715) 838-3311.Contact Information
Primary practice address
1221 Whipple St
Eau Claire WI 54703-5270
Phone: (715) 838-3311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 46119 | Wisconsin |
Profile Details
| NPI number | 1649272360 |
|---|---|
| LBN Legal business name | Johnson, Deborah L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Apr 29th, 2014 - about 10 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 | 1649272360 | NPPES |
| Wisconsin | MEDICAID | 34437300 |
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