Individual
DR. ANDREW I JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
114 N CALUMET RD, CHESTERTON, IN 46304-2426
(219) 926-3310
(219) 926-3350
Mailing address
114 N CALUMET RD, CHESTERTON, IN 46304-2426
(219) 926-3310
(219) 926-3350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001469A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000602635
ANTHEM PIN
IN
05
—
200898510A
—
IN
Enumeration date
12/18/2006
Last updated
02/24/2015
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