Johnson, Jennifer Lynn

Johnson, Jennifer Lynn is an individual health care provider with primary practice located at N84W16889 Menomonee Ave Ste 10 , Menomonee Falls WI 53051-2810. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Jennifer Lynn can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Ste 10 Menomonee Falls WI 53051-2810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 432-156 Wisconsin

Profile Details

NPI number 1306921291
LBN Legal business name Johnson, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 6th, 2021 - about 4 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 1306921291 NPPES
Wisconsin MEDICAID 41148700

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