Johnson, Christopher Shane
Johnson, Christopher Shane is an individual health care provider with primary practice located at 743 Chippenham Ct , St George UT 84770-6106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Christopher Shane can be contacted via phone (208) 416-2932.Contact Information
Primary practice address
743 Chippenham Ct
St George UT 84770-6106
Phone: (208) 416-2932
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101276335 | Virginia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | TL2432 | Wyoming |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 12975467-1205 | Utah |
Profile Details
NPI number | 1760532634 |
---|---|
LBN Legal business name | Johnson, Christopher Shane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2007 |
Last updated | Dec 5th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760532634 | NPPES |
Nevada | MEDICAID | 1760532634 |
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