Individual
DR. NICHOLAS ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1710 W 1ST ST, ANKENY, IA 50023-2526
(515) 964-3000
Mailing address
205 NE 44TH ST APT 112, ANKENY, IA 50021-4959
(406) 890-1637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
105317
IA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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