Johnson, Judith L.
Johnson, Judith L. is an sole proprietor health care provider with primary practice located at 523 W Floating Feather Drive , Eagle ID 83616. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Judith L. can be contacted via phone (208) 938-8588.Contact Information
Primary practice address
523 W Floating Feather Drive
Eagle ID 83616
Phone: (208) 938-8588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CNS18A, N10622 | Idaho |
Profile Details
| NPI number | 1366536948 |
|---|---|
| LBN Legal business name | Johnson, Judith L. |
| Credentials | APRN, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 16th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366536948 | NPPES |
| Idaho | MEDICAID | 8058014 | |
| Idaho | Other | TBBV3 | |
| Idaho | Other | 000010025013 | |
| Idaho | Other | 890000586 |
Popular Providers
-
Morris, Donald D.
3043 E Dagger Falls Dr , Eagle ID 83616-6601 -
Pickett, Brenda
136 S Academy Ave , Eagle ID 83616-6541 -
Shohet, Kristi Lynn
612 S Brentbrook Ln , Eagle ID 83616-4899 -
Urquiaga, Erinn Denise
688 N Beachwood St , Eagle ID 83616-5046 -
Lynch, Rosalie Jane
797 Dolson Ln , Eagle ID 83616-5615 -
Bonovitz, Nathaniel
1151 E Iron Eagle Dr , Eagle ID 83616-6854 -
Reed, Austin M
593 E State St , Eagle ID 83616-5938 -
Glaza, Heather L
408 S Eagle Rd Ste 205 , Eagle ID 83616-6079