Johnson, Julie A.

Johnson, Julie A. is an individual health care provider with primary practice located at 1513 S Commercial St , Neenah WI 54956-4801. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Julie A. can be contacted via phone (920) 725-1566.

Contact Information

Primary practice address
1513 S Commercial St Neenah WI 54956-4801
Fax: (920) 725-8810
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2086 Wisconsin

Profile Details

NPI number 1649249160
LBN Legal business name Johnson, Julie A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 22nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649249160 NPPES
Wisconsin MEDICAID 38529500

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