Johnson, Therese Ann

Johnson, Therese Ann is an individual health care provider with primary practice located at 3267 S 16Th Street Ems Office, Milwaukee WI 53215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Therese Ann can be contacted via phone (414) 647-5203.

Contact Information

Primary practice address
3267 S 16Th Street Ems Office Milwaukee WI 53215
Fax: (414) 647-5203
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 674-023 Wisconsin

Profile Details

NPI number 1326081316
LBN Legal business name Johnson, Therese Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 27th, 2023 - about 2 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 1326081316 NPPES
Wisconsin Other 674-023 WISCONSIN STATE LICENSE

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