Johnson, Brian Robert

Johnson, Brian Robert is an individual health care provider with primary practice located at 1350 Parkway Dr , Blackfoot ID 83221-1657. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Brian Robert can be contacted via phone (208) 782-2415.

Contact Information

Primary practice address
1350 Parkway Dr Blackfoot ID 83221-1657
Phone: (208) 782-2415
Fax: (208) 782-2411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1550A Idaho

Profile Details

NPI number 1962895888
LBN Legal business name Johnson, Brian Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2015
Last updated May 6th, 2016 - about 10 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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