Johnson, Cory A

Johnson, Cory A is an sole proprietor health care provider with primary practice located at 850 W Ironwood Dr Ste 301 , Coeur D Alene ID 83814-4903. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Johnson, Cory A can be contacted via phone (208) 667-9762.

Contact Information

Primary practice address
850 W Ironwood Dr Ste 301 Coeur D Alene ID 83814-4903
Phone: (208) 667-9762
Fax: (208) 765-1041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P-263 Idaho

Profile Details

NPI number 1730665837
LBN Legal business name Johnson, Cory A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2018
Last updated Sep 23rd, 2021 - about 5 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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