Individual
CHASE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
590 E 900 N, SPANISH FORK, UT 84660-1335
(435) 469-2152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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