Johnson, Richard A
Johnson, Richard A is an individual health care provider with primary practice located at 3329 N Richmond St , Appleton WI 54911-1063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Richard A can be contacted via phone (920) 380-2715.Contact Information
Primary practice address
3329 N Richmond St
Appleton WI 54911-1063
Phone: (920) 380-2715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27892 | Wisconsin |
Profile Details
| NPI number | 1669466231 |
|---|---|
| LBN Legal business name | Johnson, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Sep 2nd, 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 | 1669466231 | NPPES |
| Wisconsin | MEDICAID | 31401300 |
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