Individual
JENNIFER GWEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
31 W PARK ST, BUTTE, MT 59701-1713
(406) 565-3760
Mailing address
1117 W GALENA ST, BUTTE, MT 59701-1421
(406) 565-3760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1188
MT
111N00000X
Chiropractor
9178
AZ
111N00000X
Chiropractor
Primary
CHI-CHI-LIC-1188
MT
Other
Enumeration date
05/14/2009
Last updated
12/19/2022
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