Johansen, Francis T

Johansen, Francis T is an individual health care provider with primary practice located at 1441 Parkway Dr , Blackfoot ID 83221-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Johansen, Francis T can be contacted via phone (208) 785-2600.

Contact Information

Primary practice address
1441 Parkway Dr Blackfoot ID 83221-1667
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2002023842 Missouri

Profile Details

NPI number 1447253968
LBN Legal business name Johansen, Francis T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1447253968 NPPES
Missouri MEDICAID 209067909

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