Individual
MICHAEL A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2990 E MAIN ST, RICHMOND, IN 47374-3546
(765) 962-9900
Mailing address
2990 E MAIN ST, RICHMOND, IN 47374-3546
(765) 962-9900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257280A
—
IN
Enumeration date
08/13/2006
Last updated
07/08/2007
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