Individual
DR. ERIC U JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1185 MOUNT AETNA RD, SUITE 102, HAGERSTOWN, MD 21740-6832
(301) 739-0790
(301) 739-0353
Mailing address
226 VENICE WAY, SHEPHERDSTOWN, WV 25443-4648
(304) 876-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01325
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095990
AETNA
MD
01
—
1017515
BRICKSTREET
WV
01
—
220619
MAMSI MDIPA OPT CHC ALLIA
MD
01
—
41578
IWIF
MD
01
—
609578
ACN
MD
01
—
EJ1004587
ASHN
MD
01
—
R155
BLUECHOICE FEP
MD
Enumeration date
02/21/2007
Last updated
07/08/2007
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