Johnson, Thomas Mark
Johnson, Thomas Mark is an sole proprietor health care provider with primary practice located at N5733 Gurholt Lake Rd , Scandinavia WI 54977-9736. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Johnson, Thomas Mark can be contacted via phone (715) 467-2324.Contact Information
Primary practice address
N5733 Gurholt Lake Rd
Scandinavia WI 54977-9736
Phone: (715) 467-2324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 69342-30 | Wisconsin |
Profile Details
| NPI number | 1881069862 |
|---|---|
| LBN Legal business name | Johnson, Thomas Mark |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Dec 2nd, 2015 - about 9 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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