Johnson, Nicholas Bradford

Johnson, Nicholas Bradford is an individual health care provider with primary practice located at 3200 Channing Way Ste 206 , Idaho Falls ID 83404-7546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Johnson, Nicholas Bradford can be contacted via phone (208) 529-2230.

Contact Information

Primary practice address
3200 Channing Way Ste 206 Idaho Falls ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 453-6142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X M-14721 Idaho
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 83999 Georgia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01076429A Indiana
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X M-14721 Idaho

Profile Details

NPI number 1578850210
LBN Legal business name Johnson, Nicholas Bradford
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2011
Last updated Feb 28th, 2024 - 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.

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