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Blane Johnson, Llc
Prosthetic/Orthotic Supplier in Ammon, Idaho
NPI 1346432556

Blane Johnson, Llc is a Prosthetic/Orthotic Supplier based in Ammon, ID. Blane Johnson, Llc practices in Ammon, ID. The NPI Number for Blane Johnson, Llc is 1346432556 and holds a License No. (Idaho).

The current practice location address for Blane Johnson, Llc is 939 S 25Th E, Ammon, ID and can be reached out via phone at 208-525-3338 and via fax at 208-525-3339.

Location: 939 S 25Th E, Ammon, ID, 83406-5734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346432556
Provider Name
Blane Johnson, Llc
Credential
Provider Entity Type
Organization
Address
939 S 25Th E, Ammon, ID, 83406-5734
Phone Number
208-525-3338
Fax Number
208-525-3339
Provider Enumeration Date
08/11/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
939 S 25Th E
City
Ammon
State
Idaho
Zip
83406-5734
Phone Number
208-525-3338
Fax Number
208-525-3339
person
Provider Business Mailing Address Details
Address
939 S 25Th E
City
Ammon
State
Idaho
Zip
83406-5734
Phone Number
208-525-3338
Fax Number
208-525-3339
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Idaho)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Idaho)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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