Johnson, Paul

Johnson, Paul is an individual health care provider with primary practice located at 3051 Cahill Main , Fitchburg WI 53711-7109. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Johnson, Paul can be contacted via phone (608) 661-7200.

Contact Information

Primary practice address
3051 Cahill Main Fitchburg WI 53711-7109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 570 Wisconsin

Profile Details

NPI number 1134148968
LBN Legal business name Johnson, Paul
Credentials Master of Science in Social Work (MSSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 26th, 2010 - about 15 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 1134148968 NPPES
Wisconsin MEDICAID 39248000

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