Johnson, Lisa Marie
Johnson, Lisa Marie is an sole proprietor health care provider with primary practice located at 4054 Commonweath Ave , Eau Claire WI 54701-9000. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Johnson, Lisa Marie can be contacted via phone (715) 833-1220.Contact Information
Primary practice address
4054 Commonweath Ave
Eau Claire WI 54701-9000
Phone: (715) 833-1220
Fax: (715) 833-1297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1427211515 |
|---|---|
| LBN Legal business name | Johnson, Lisa Marie |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Jul 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427211515 | NPPES |
| Wisconsin | MEDICAID | 38460300 |
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