Johnson, Devin Brooke

Johnson, Devin Brooke is an individual health care provider with primary practice located at 3217 Stein Blvd , Eau Claire WI 54701-6946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, Devin Brooke can be contacted via phone (715) 835-6548.

Contact Information

Primary practice address
3217 Stein Blvd Eau Claire WI 54701-6946
Phone: (715) 835-6548
Fax: (715) 835-7708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 40161-020 Wisconsin
Allopathic & Osteopathic Physicians / Urology 208800000X 40161-20 Wisconsin

Profile Details

NPI number 1154365625
LBN Legal business name Johnson, Devin Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 27th, 2015 - about 9 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 1154365625 NPPES
Wisconsin Other 60363 DEAN HEALTH INSURANCE
Wisconsin MEDICAID 34608500 DEAN HEALTH INSURANCE

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