Individual
JUSTIN MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
(208) 302-3155
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10816599-1206
UT
363A00000X
Physician Assistant
Primary
PA-2296
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619362480
—
NV
Enumeration date
03/30/2015
Last updated
08/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us