Shad Carl Johnson PA-C

  • NPI 1114028354
According to our database, the NPI number for Shad Carl Johnson PA-C is 1114028354 and activated since 17 years ago. Shad Carl Johnson PA-C is an individual provider who specializes in Medical, and the primary practice location is 1151 Hospital Way Bldg A, Pocatello, ID 83201. You can also contact Shad Carl Johnson PA-C via telephone number is (208) 232-6616. Provider NPI information was last updated on 07/08/2007.

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Overview of Shad Carl Johnson PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/26/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA-629
  • License State: ID

Provider Mailing Address

  • Address: 1151 Hospital Way Bldg A
    P.o. Box 4788
    Pocatello, ID 83201
  • Phone: 208-232-6616
  • Fax: 208-232-6618

Provider Practice Location

  • Address: 1151 Hospital Way Bldg A
    Pocatello, ID 83201
  • Phone: 208-232-6616
  • Fax: 208-232-6618

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA-629
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shad Carl Johnson PA-C?
  • A: The npi number for Shad Carl Johnson PA-C is 1114028354.
  • Q: What are Shad Carl Johnson PA-C's specialties?
  • A: Shad Carl Johnson PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Shad Carl Johnson PA-C?
  • A: The medical license number for Shad Carl Johnson PA-C is PA-629 and issued in ID in USA.
  • Q: Where is Shad Carl Johnson PA-C practice location?
  • A: Shad Carl Johnson PA-C is practicing at 1151 Hospital Way Bldg A, Pocatello, ID 83201.
  • Q: How to contact Shad Carl Johnson PA-C?
  • A: You can contact Shad Carl Johnson PA-C via 208-232-6616.