Individual
DR. PERRY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 N MAIN ST, BLUFFTON, IN 46714-1313
(260) 824-8183
(260) 824-8184
Mailing address
1085B N MAIN ST, BLUFFTON, IN 46714-1322
(260) 824-8183
(260) 824-8184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
080001137
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356189
ANTHEM
IN
05
—
100386440A
—
IN
01
—
P00182728
MEDICARE RR
IN
Enumeration date
06/30/2005
Last updated
12/21/2017
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