Johnson, Miers C

Johnson, Miers C is an individual health care provider with primary practice located at 4424 E Flamingo Ave Suite 110, Nampa ID 83687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Miers C can be contacted via phone (208) 288-4700.

Contact Information

Primary practice address
4424 E Flamingo Ave Suite 110 Nampa ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M5750 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-5750 Idaho

Profile Details

NPI number 1942291521
LBN Legal business name Johnson, Miers C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 22nd, 2014 - about 10 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 1942291521 NPPES
Idaho Other 33548 BLUE CROSS
Idaho Other 000010006018 BLUE CROSS
Idaho MEDICAID 002364900 BLUE CROSS
Idaho Other 000010006017 BLUE CROSS
Idaho Other 57505 BLUE CROSS
Idaho Other 200012693 BLUE CROSS

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