Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD J JOHNSON, DO
Active Sole ProprietorCHAD J JOHNSON, DO is a Sports Medicine healthcare provider located in TWIN FALLS, Idaho. NPI 1871881052 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · TWIN FALLS, ID
Registration Details
- NPI Number
- 1871881052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2011 (15.021646924929 yrs)
- Last Updated
- Sep 23, 2024
- Licenses
-
8974078-1204 (UT)O-0694 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1411 FALLS AVE E STE 1301TWIN FALLS, ID, 833013467Browse ID providers · Browse ZIP 83301
- Phone
- 2087358585
- Fax
- 2089332001
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.