Individual
DR. JEREMIAH B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1802 W MAIN ST, SUITE B, INDEPENDENCE, KS 67301-8485
(620) 331-5300
Mailing address
1802 W MAIN ST, SUITE B, INDEPENDENCE, KS 67301-8485
(620) 331-5300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T-02193
KS
Other
Enumeration date
08/19/2008
Last updated
04/21/2010
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