Johansen, Brett

Johansen, Brett is an individual health care provider with primary practice located at 1210 Nw 16Th St , Fruitland ID 83619-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Johansen, Brett can be contacted via phone (208) 452-9881.

Contact Information

Primary practice address
1210 Nw 16Th St Fruitland ID 83619-2202
Phone: (208) 452-9881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1308 Idaho

Profile Details

NPI number 1982074696
LBN Legal business name Johansen, Brett
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 11 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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