Individual
BRIAN W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8880 COLERIAN AVE, CINCINNATI, OH 45251
(513) 245-9100
(513) 245-2696
Mailing address
8880 COLERIAN AVE, CINTI, OH 45251
(513) 245-9100
(513) 245-2696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1602
OH
111N00000X
Chiropractor
4110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336270
ANTHEM BCBS
—
Enumeration date
09/15/2006
Last updated
07/08/2007
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