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Organization

FAMILY CHIROPRACTIC PLUS PA

Active
Other names
Cathedral Hill Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SCOTT JOHNSON D.C. (OWNER PRESIDENT)
(651) 735-1088
Entity
Organization

Contact information

Practice address
400 SELBY AVE, SUITE N, SAINT PAUL, MN 55102-4508
(651) 735-1088
(651) 735-2505
Mailing address
400 SELBY AVE, SUITE N, SAINT PAUL, MN 55102-4508
(651) 735-1088
(651) 735-2505

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 3989
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42D14FA
BCBS OF MN FACILITY ID
MN
01
DC 3989
DC CERTIFICATION STATE NO
MN
Enumeration date
04/26/2007
Last updated
01/17/2022
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