Johnson, Sally A
Johnson, Sally A is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Sally A can be contacted via phone (608) 756-5555.Contact Information
Primary practice address
903 Mineral Point Ave
Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 14553 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4273 | Wisconsin |
Profile Details
| NPI number | 1215081542 |
|---|---|
| LBN Legal business name | Johnson, Sally A |
| Credentials | LPC, CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Nov 25th, 2013 - about 12 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 | 1215081542 | NPPES |
| Wisconsin | Other | 1215081542 | BCBSWI |
| Wisconsin | MEDICAID | 39386700 | BCBSWI |
| Wisconsin | MEDICAID | 1215081542 | BCBSWI |
| Wisconsin | Other | JOHNSSAL | BCBSWI |
Popular Providers
-
Marko, Justin J.
15 W Milwaukee St Suite 207, Janesville WI 53548-2998 -
Ringhand, Kelly M
4465 Milton Ave Ste 107 , Janesville WI 53546-9145 -
Williams, Julie Ann
1 S Main St , Janesville WI 53545-3977 -
Kollmansberger, Benno W
903 Mineral Point Ave , Janesville WI 53548-2970 -
Quick, Cassandra Nicole
903 Mineral Point Ave , Janesville WI 53548-2970 -
Robers Miller, Jennifer
2640 Milton Ave , Janesville WI 53545-0231 -
Henn, Sandra Elizabeth
3506 N Us Highway 51 , Janesville WI 53545-0726 -
Samb, Catherine
3530 N Cty Trk Hwy F , Janesville WI 53547-1649