Johnson, Teresa Kay
Johnson, Teresa Kay is an sole proprietor health care provider with primary practice located at 1995 E 17Th St Idaho Falls, Idaho Falls ID 83404-6493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Teresa Kay can be contacted via phone (208) 529-2544.Contact Information
Primary practice address
1995 E 17Th St Idaho Falls
Idaho Falls ID 83404-6493
Phone: (208) 529-2544
Fax: (208) 529-3771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-8742 | Idaho |
Profile Details
| NPI number | 1285642322 |
|---|---|
| LBN Legal business name | Johnson, Teresa Kay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Sep 22nd, 2008 - about 16 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 | 1285642322 | NPPES |
| Idaho | MEDICAID | 806599100 |
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