Organization
JOHNSON CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LEE JOHNSON D.C. (OWNER)
(608) 788-4435
Entity
Organization
Contact information
Practice address
4435 MORMON COULEE RD, LA CROSSE, WI 54601-8220
(608) 788-4435
(608) 788-4436
Mailing address
4435 MORMON COULEE RD, LA CROSSE, WI 54601-8220
(608) 788-4435
(608) 788-4436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3987012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38949300
—
WI
Enumeration date
04/06/2007
Last updated
06/27/2013
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