Individual
DR. JAMES DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
42 N ST JOSEPH AVE, NILES, MI 49120
(269) 683-8957
Mailing address
42 N ST JOSEPH AVE, NILES, MI 49120
(269) 683-8957
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JJ002507
BCBS
MI
01
—
T32623
MEDICARE
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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