# CHIROPRACTIC PAIN & REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194935874
- **Authorized official:** DR. ERIC U JOHNSON D.C. (SOLE PROPRITOR)
- **Authorized official phone:** (301) 739-0790

## Contact information

- **Practice address:** 1185 MOUNT AETNA RD, SUITE 102, HAGERSTOWN, MD 21740-6832
- **Practice address phone:** (301) 739-0790
- **Practice address fax:** (301) 739-0353
- **Mailing address:** 226 VENICE WAY, SHEPHERDSTOWN, WV 25443-4648
- **Mailing address phone:** (304) 876-0500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | S01325 | MD | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020