Johnson, Stephen C
Johnson, Stephen C is an sole proprietor health care provider with primary practice located at 895 N 6Th E , Mountain Home ID 83647-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Stephen C can be contacted via phone (702) 453-3799.Contact Information
Primary practice address
895 N 6Th E
Mountain Home ID 83647-2207
Phone: (702) 453-3799
Fax: (702) 453-5741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0-41 | Idaho |
Profile Details
| NPI number | 1427041201 |
|---|---|
| LBN Legal business name | Johnson, Stephen C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 11th, 2016 - about 9 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 | 1427041201 | NPPES |
| Idaho | MEDICAID | 000769100 |
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