Johnson, Joann M
Johnson, Joann M is an individual health care provider with primary practice located at 1072 N Liberty St Suite 100, Boise ID 83704-8708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Johnson, Joann M can be contacted via phone (208) 302-1200.Contact Information
Primary practice address
1072 N Liberty St Suite 100
Boise ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | N-36626 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM-47A | Idaho |
Profile Details
| NPI number | 1801842257 |
|---|---|
| LBN Legal business name | Johnson, Joann M |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Nov 10th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801842257 | NPPES |
| Idaho | Other | NPYT2 | BLUE CROSS |
| Idaho | MEDICAID | 807785500 | BLUE CROSS |
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