Organization
JOHNSON CHIROPRACTIC INC
Active
Other names
Johnson Chiropractic and Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M JOHNSON D.C. (CHIEF EXECUTIVE)
(620) 331-0601
Entity
Organization
Contact information
Practice address
311 E MAIN ST, INDEPENDENCE, KS 67301-3713
(620) 331-0601
Mailing address
311 E MAIN ST, INDEPENDENCE, KS 67301-3713
(620) 331-0601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C-3510
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005464
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/11/2009
Last updated
08/11/2009
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