Organization
CHIROPRACTIC PAIN & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC U JOHNSON D.C. (SOLE PROPRITOR)
(301) 739-0790
Entity
Organization
Contact information
Practice address
1185 MOUNT AETNA RD, SUITE 102, HAGERSTOWN, MD 21740-6832
(301) 739-0790
(301) 739-0353
Mailing address
226 VENICE WAY, SHEPHERDSTOWN, WV 25443-4648
(304) 876-0500
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S01325
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095990
US HEALTHCARE
MD
01
—
1017515
BRICKSTREET
WV
01
—
212092
KAISER PERMANENTE
MD
01
—
220619
MAMSI OPTIMUM CHOICE ONE
MD
01
—
345287
COVENTRY HEALTH
MD
01
—
41578
IWIF
MD
01
—
4277955
AETNA
MD
01
—
609578
ACN GROUP
MD
01
—
7946642
CIGNA HEALTHCARE
MD
01
—
EJ1004587
ASHN
MD
01
—
M080
CAREFIRST
MD
01
—
R155
FEB
MD
01
—
R155001
CAREFIRST BLUECHOICE
MD
Enumeration date
05/23/2007
Last updated
08/22/2020
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