Organization
JOHNSON CHIROPRACTIC PC
Active
Other names
Bringham County Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L JOHNSON D.C. (OWNER/PRESIDENT)
(208) 785-0832
Entity
Organization
Contact information
Practice address
6 W BRIDGE ST, BLACKFOOT, ID 83221-2701
(208) 785-0832
(208) 785-0835
Mailing address
6 W BRIDGE ST, BLACKFOOT, ID 83221-2701
(208) 785-0832
(208) 785-0835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1075
ID
Other
Enumeration date
03/12/2008
Last updated
08/01/2008
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