Individual
DR. JUSTIN DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2106 SILVERSIDE RD STE 102, WILMINGTON, DE 19810-4163
(302) 365-6520
(302) 365-6167
Mailing address
550 STANTON CHRISTIANA RD STE 302, NEWARK, DE 19713-2132
(302) 365-6520
(302) 365-6167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8370668-1202
UT
111N00000X
Chiropractor
DC010890
PA
111N00000X
Chiropractor
Primary
F10000897
DE
Other
Enumeration date
08/09/2012
Last updated
04/04/2024
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