Heather L Johnson in Green Bay - Physician Assistant
Heather L Johnson - NPI 1659429413
Heather L Johnson is a Physician Assistant in Green Bay, Wisconsin. Heather L Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather L Johnson is 1659429413. The last update date is 2007-07-08.
Heather L Johnson's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204964705. The mailing address for Heather L Johnson is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather L Johnson |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | 9204964705 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1659429413 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number | 9204964705 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2085-023 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2085-023 | WI | PA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather L Johnson by the Centers for Medicare & Medicaid Services?
The Heather L Johnson has been issued the NPI (National Provider Identifier) 1659429413, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Heather L Johnson is geographically located?
The Heather L Johnson is physically situated at the following location: Po Box 19070, Green Bay, WI, 543079070.
What is Heather L Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Heather L Johnson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1659429413 assigned to Heather L Johnson?
The Heather L Johnson was issued its 1659429413 on 2007-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Heather L Johnson most recently updated or revised?
The details related to Heather L Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.