Johnson, Niel A
Johnson, Niel A is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Niel A can be contacted via phone (262) 641-8400.Contact Information
Primary practice address
16985 W Bluemound Rd
Brookfield WI 53005-5909
Phone: (262) 641-8400
Fax: (910) 369-2874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35197 | Wisconsin |
Profile Details
| NPI number | 1649233255 |
|---|---|
| LBN Legal business name | Johnson, Niel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 13th, 2024 - about 7 months 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 | 1649233255 | NPPES |
| Wisconsin | MEDICAID | 100044449 |
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