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JOHNSON CHIROPRACTIC HEALTH SERVICE

Ambulatory Health Care Facilities Clinic/Center Health Service

Provider NPI: 1558547026

Organization Information:
Organization Name:  JOHNSON CHIROPRACTIC HEALTH SERVICE
Organization is not Subpart
Authorized Official:  TIMOTHY NEIL JOHNSON  PRESIDENT  920-921-4910

Practice Location:
195 14TH ST  FOND DU LAC, WI 54935-5976 US
Tel: 920-921-4910  Fax: 920-921-8645

Business Mailing Address:
195 14TH ST P.O.BOX 1451 FOND DU LAC, WI 54935-5976 US
Tel: 920-921-4910  Fax: 920-921-8645

NPI Information:
NPI: 1558547026
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QH0100XAmbulatory Health Care Facilities
Clinic/Center
Health Service
WI1431

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QH0100X

Type:

Classification:



Definition:



MEDICAL JOBS WI - Page 1

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