Johnsen, Justin Rodney

Johnsen, Justin Rodney is an sole proprietor health care provider with primary practice located at 909 S Allante Pl , Boise ID 83709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Johnsen, Justin Rodney can be contacted via phone (208) 377-5433.

Contact Information

Primary practice address
909 S Allante Pl Boise ID 83709
Phone: (208) 377-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-14780 Idaho
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X M-14780 Idaho

Profile Details

NPI number 1679582282
LBN Legal business name Johnsen, Justin Rodney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Sep 3rd, 2019 - about 6 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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