Johnson, Christopher Shane

Johnson, Christopher Shane is an individual health care provider with primary practice located at 743 Chippenham Ct , St George UT 84770-6106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Christopher Shane can be contacted via phone (208) 416-2932.

Contact Information

Primary practice address
743 Chippenham Ct St George UT 84770-6106
Phone: (208) 416-2932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101276335 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X TL2432 Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12975467-1205 Utah

Profile Details

NPI number 1760532634
LBN Legal business name Johnson, Christopher Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 5th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760532634 NPPES
Nevada MEDICAID 1760532634

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