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Contact Information

CORY A JOHNSON, DPM
850 W IRONWOOD DR STE 301
COEUR D'ALENE, ID83814-4903
 Phone: 208-667-9762
 Fax: 208-765-1041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CORY A JOHNSON · (Male)

NPI Number 1730665837
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/12/2018
Last updated 09/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # P-263
Hospital affiliation(s)
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • NORTHWEST SPECIALTY HOSPITAL - (Acute Care)
    1593 EAST POLSTON AVENUE
    POST FALLS, ID 83854
  • SHOSHONE MEDICAL CENTER - (Critical Access)
    25 JACOBS GULCH ROAD
    KELLOGG, ID 83837
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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