Johnson, Jeremiah
Johnson, Jeremiah is an sole proprietor health care provider with primary practice located at 5215 N Ironwood Rd Ste 202 , Glendale WI 53217-4908. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Jeremiah can be contacted via phone (715) 903-6444.Contact Information
Primary practice address
5215 N Ironwood Rd Ste 202
Glendale WI 53217-4908
Phone: (715) 903-6444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9262-123 | Wisconsin |
Profile Details
| NPI number | 1669027066 |
|---|---|
| LBN Legal business name | Johnson, Jeremiah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2019 |
| Last updated | May 6th, 2023 - about last year |
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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