Organization
JOHNSON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHNSON D.C. (OWNER)
60087425578
Entity
Organization
Contact information
Practice address
1512 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 742-5578
Mailing address
1512 NEW PINERY RD, PORTAGE, WI 53901-1312
(608) 742-5578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2049
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38795400
—
WI
Enumeration date
01/09/2013
Last updated
10/01/2014
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