Joshua Adam Johnson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tremonton, UT

NPI 1578050225 · NPPES record last updated Apr 18, 2018

Key facts

NPI
1578050225
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
440 W 600 N
Tremonton, UT 84337-2400
Phone
(435) 257-2168
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

440 W 600 N
Tremonton, UT 84337-2400

Mailing address

267 1/2 N 200 E Apt 1
Logan, UT 84321-4056
Phone (385) 288-7696

Other providers in Tremonton, UT

All providers in Tremonton, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.