Johnson, Jordan
Johnson, Jordan is an individual health care provider with primary practice located at W175N11163 Stonewood Dr , Germantown WI 53022-6500. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Johnson, Jordan can be contacted via phone (262) 388-9303.Contact Information
Primary practice address
W175N11163 Stonewood Dr
Germantown WI 53022-6500
Phone: (262) 388-9303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7482-226 | Wisconsin |
Profile Details
| NPI number | 1578294856 |
|---|---|
| LBN Legal business name | Johnson, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2022 |
| Last updated | Jan 22nd, 2024 - 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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