Johansen, Richard Bart

Johansen, Richard Bart is an individual health care provider with primary practice located at 3580 W 9000 S , West Jordan UT 84088-8812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johansen, Richard Bart can be contacted via phone (801) 561-8888.

Contact Information

Primary practice address
3580 W 9000 S West Jordan UT 84088-8812
Phone: (801) 561-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 184747-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 184747-1205 Utah

Profile Details

NPI number 1144281114
LBN Legal business name Johansen, Richard Bart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 8th, 2022 - about 2 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 1144281114 NPPES
Utah MEDICAID 10496

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