Johnson, Jeffery L
Johnson, Jeffery L is an individual health care provider with primary practice located at 3217 W Bavaria Street , Eagle ID 83616. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Jeffery L can be contacted via phone (208) 239-1000.Contact Information
Primary practice address
3217 W Bavaria Street
Eagle ID 83616
Phone: (208) 239-1000
Fax: (208) 239-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA416 | Idaho |
Profile Details
| NPI number | 1609887801 |
|---|---|
| LBN Legal business name | Johnson, Jeffery L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Feb 3rd, 2021 - about 4 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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