Individual
DR. KRISTOFFER GARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1901 6TH AVE N STE 260, BIRMINGHAM, AL 35203-4625
(205) 322-9005
(205) 322-9039
Mailing address
1901 6TH AVE N STE 260, BIRMINGHAM, AL 35203-4625
(205) 322-9005
(205) 322-9039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1895
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51098522
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/30/2007
Last updated
09/04/2012
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