Johnson, Peter Haan

Johnson, Peter Haan is an individual health care provider with primary practice located at 721 American Ave Ste 108 Prohealth Care Regional Cancer Center, Waukesha WI 53188-5071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Johnson, Peter Haan can be contacted via phone (262) 928-5350.

Contact Information

Primary practice address
721 American Ave Ste 108 Prohealth Care Regional Cancer Center Waukesha WI 53188-5071
Phone: (262) 928-5350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X L8751 Texas

Profile Details

NPI number 1407948763
LBN Legal business name Johnson, Peter Haan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 20th, 2012 - about 13 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 1407948763 NPPES
Texas MEDICAID 176675001

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