Johnson, Denise M

Johnson, Denise M is an individual health care provider with primary practice located at 8576 W Grantosa Dr , Milwaukee WI 53225-4964. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Johnson, Denise M can be contacted via phone (414) 462-9075.

Contact Information

Primary practice address
8576 W Grantosa Dr Milwaukee WI 53225-4964
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 82597-030 Wisconsin

Profile Details

NPI number 1922137900
LBN Legal business name Johnson, Denise M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 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 1922137900 NPPES
Wisconsin MEDICAID 39842300

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