Johnson, Laura J

Johnson, Laura J is an individual health care provider with primary practice located at W160N10587 Fieldstone Pass , Germantown WI 53022-4199. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Laura J can be contacted via phone (262) 253-1626.

Contact Information

Primary practice address
W160N10587 Fieldstone Pass Germantown WI 53022-4199
Phone: (262) 253-1626
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2707-024 Wisconsin

Profile Details

NPI number 1700050788
LBN Legal business name Johnson, Laura J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 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 1700050788 NPPES
Wisconsin MEDICAID 40072000

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