Johnson, Michelle Denise
Johnson, Michelle Denise is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code 2433, Madison WI 53792-0001. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Johnson, Michelle Denise can be contacted via phone (608) 662-0817.Contact Information
Primary practice address
600 Highland Ave Compliance Mail Code 2433
Madison WI 53792-0001
Phone: (608) 662-0817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 528-029 | Wisconsin |
Profile Details
| NPI number | 1285793620 |
|---|---|
| LBN Legal business name | Johnson, Michelle Denise |
| Credentials | M.S.,R.D., C.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285793620 | NPPES |
| Wisconsin | Other | 674087 | DIETITIAN |
| Wisconsin | Other | 528-029 | DIETITIAN |
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