Johnson, Ryan Tyler
Johnson, Ryan Tyler is an individual health care provider with primary practice located at 900 N Liberty St Ste 306 , Boise ID 83704-8729. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Johnson, Ryan Tyler can be contacted via phone (208) 367-7887.Contact Information
Primary practice address
900 N Liberty St Ste 306
Boise ID 83704-8729
Phone: (208) 367-7887
Fax: (208) 367-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P277 | Idaho |
Profile Details
| NPI number | 1265059042 |
|---|---|
| LBN Legal business name | Johnson, Ryan Tyler |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2020 |
| Last updated | Apr 8th, 2025 - about last year |
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.
Popular Providers
-
Leis, Stanley B
809 N Liberty St , Boise ID 83704-8703 -
Chandler, Jeffrey L.
222 N 2Nd St Ste 301, Boise ID 83702-6131 -
Graviet, Scott A
6051 N Eagle Rd , Boise ID 83713-0997 -
Smiley-Leis, Rebecca A
809 N Liberty St , Boise ID 83704-8703 -
Randall, David B
3355 N University Ave Ste 175 , Provo UT 84604-6620 -
Owen, James Joseph
900 N Liberty St Suite 306, Boise ID 83704-8704 -
Bird, Scott Gregory
1075 N Curtis Rd Ste 300 , Boise ID 83706-1348 -
Millward, Gary J
6051 N Eagle Rd , Boise ID 83713-0997