Johnson, Heather L
Johnson, Heather L is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Heather L can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1821 S Webster Ave
Green Bay WI 54301-2253
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2085-023 | Wisconsin |
Profile Details
| NPI number | 1659429413 |
|---|---|
| LBN Legal business name | Johnson, Heather L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659429413 | NPPES |
| Wisconsin | Other | 2085-023 | PA LICENSE |
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