Individual
DR. JAY CHRISTOPHER JOHANNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2550 MIDDLE RD STE 400, BETTENDORF, IA 52722
(563) 359-4203
(563) 345-4099
Mailing address
2550 MIDDLE RD STE 400, BETTENDORF, IA 52722-3288
(563) 359-4203
(563) 345-4099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06460
IA
Other
Enumeration date
01/29/2006
Last updated
08/13/2018
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