BROCK ROBERT JOHANSON NPI 1982289864

NPI Information

NPI: 1982289864
Provider Name: BROCK ROBERT JOHANSON
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
6575 HARVEST LN
STANSBURY PARK, UT
ZIP 84074
Phone: (208) 540-1691
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Brock Robert Johanson is a student in an organized health care education training program in Stansbury Park, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brock Robert Johanson NPI is 1982289864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6575 HARVEST LN
STANSBURY PARK, UT
ZIP 84074-063
Phone: (208) 540-1691

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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