Johnston, Michael D.

Johnston, Michael D. is an individual health care provider with primary practice located at 311 Allumbaugh St , Boise ID 83704-9208. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johnston, Michael D. can be contacted via phone (208) 375-6402.

Contact Information

Primary practice address
311 Allumbaugh St Boise ID 83704-9208
Phone: (208) 375-6402
Fax: (208) 323-1850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-359 Idaho

Profile Details

NPI number 1346394913
LBN Legal business name Johnston, Michael D.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 14th, 2007 - about 19 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 1346394913 NPPES
Idaho Other 0000100175 REGENCE BLUE SHIELD
Idaho Other N9535 REGENCE BLUE SHIELD

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