Individual
DR. PAUL F. JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9141 WALKER RD, SHREVEPORT, LA 71118-2940
(318) 687-9671
(318) 687-9691
Mailing address
9141 WALKER RD, SHREVEPORT, LA 71118-2940
(318) 687-9671
(318) 687-9691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
359
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950181
—
LA
01
—
20294
BLUE CROSS BLUE SHIELD
LA
01
—
359
LICENSES
LA
01
—
720957373
TAX ID
LA
Enumeration date
02/20/2007
Last updated
07/08/2007
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