Individual
BLAINE A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
722 S MAIN ST, BEL AIR, MD 21014-4101
(443) 903-2014
(443) 903-2011
Mailing address
722 S MAIN ST, BEL AIR, MD 21014-4101
(443) 903-2014
(443) 903-2011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01963
MD
Other
Enumeration date
03/03/2007
Last updated
01/04/2017
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