Organization
JOHNSON CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G JOHNSON D.C. (PRESIDENT)
(574) 268-0787
Entity
Organization
Contact information
Practice address
427 E FORT WAYNE ST, WARSAW, IN 46580-3362
(574) 268-0787
(574) 268-5306
Mailing address
427 E FORT WAYNE ST, WARSAW, IN 46580-3362
(574) 268-0787
(574) 268-5306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001688A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119260A
—
IN
Enumeration date
10/23/2007
Last updated
05/14/2013
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