Healthcare Provider Details

I. General information

NPI: 1699744367
Provider Name (Legal Business Name): JOHN ENGH STORHEIM JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. JOHN STORHEIM

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 N 7TH ST
GRAND JUNCTION CO
81501-8209
US

IV. Provider business mailing address

1120 WELLINGTON AVE SUITE 206
GRAND JUNCTION CO
81501-6131
US

V. Phone/Fax

Practice location:
  • Phone: 970-244-2273
  • Fax:
Mailing address:
  • Phone: 970-243-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number230386
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4772460-1204
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number230386
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number47789
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4772460-1204
License Number StateUT
# 6
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number47789
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: