Individual
DR. CHRISTA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
739 CANFIELD RD, MANISTEE, MI 49660-9630
(231) 723-3144
(231) 723-3140
Mailing address
739 CANFIELD RD, MANISTEE, MI 49660-9630
(231) 723-3144
(231) 723-3140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E110160
BCBS GROUP PROVIDER #
MI
05
—
4389001
—
MI
Enumeration date
04/11/2007
Last updated
02/11/2019
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