Individual
DR. ISAAC GEORGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
611 6TH ST SE, WATERTOWN, SD 57201-4938
(605) 882-0100
(605) 882-6911
Mailing address
611 6TH ST SE, WATERTOWN, SD 57201-4938
(605) 882-0100
(605) 882-6911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1355
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1355
LICENSE NUMBER
SD
Enumeration date
09/24/2019
Last updated
09/24/2019
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