NPI 1346432556

Blane Johnson, LLC

Organisation Durable Medical Equipment & Medical Supplies Ammon, ID

Practice location

Address: 939 S 25th E Suite 100, Ammon, ID 83406-5734
Phone: (208) 525-3338
Fax: (208) 525-3339

Authorised official

Name: Blane Robert Johnson
Title: Owner/Director
Phone: (208) 525-3382

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Idaho →

Registry record

NPI: 1346432556
Entity type: Organization
NPI issued: 11 Aug 2007
Record last updated: 11 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.