Organization
JOHNSON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT TED JOHNSON D.C. (PRESIDENT)
(775) 826-2200
Entity
Organization
Contact information
Practice address
4600 KIETZKE LN, SUITE N258, RENO, NV 89502-5033
(775) 826-2200
(775) 826-2492
Mailing address
4600 KIETZKE LN, SUITE N258, RENO, NV 89502-5033
(775) 826-2200
(775) 826-2492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCB417
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V104905
MEDICARE PTAN
NV
Enumeration date
11/21/2007
Last updated
05/06/2010
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