Individual
MR. JEFFREY JAY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
6804 GREEN BAY ROAD, 113, KENOSHA, WI 53142
(262) 577-5577
(262) 577-5511
Mailing address
6804 GREEN BAY ROAD, 113, KENOSHA, WI 53142-8458
(262) 577-5577
(262) 577-5511
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1310060
WI
Other
Enumeration date
10/13/2011
Last updated
02/11/2020
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