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JOHNSTON CHIROPRACTIC CLINIC INC. NPI 1164458469


NPI Information

NPI: 1164458469
Provider Name: JOHNSTON CHIROPRACTIC CLINIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1150 GROVE ST
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-2727
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JOHNSTON CHIROPRACTIC CLINIC, INC. is a chiropractor in San Luis Obispo, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JOHNSTON CHIROPRACTIC CLINIC, INC. NPI is 1164458469. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 GROVE ST
SAN LUIS OBISPO, CA
ZIP 93401-914
Phone: (805) 541-2727
Fax: (805) 541-2729

The provider's authorized official is R. Marc Johnston .
The authorized official title is Chiropractor and has the following contact phone number (805) 541-2727.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 11/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor11453CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC11453OTHERCALIFORNIAOTHER INS. INDIVIDUAL #
2WDC11453AOTHERCALIFORNIAOTHER INS. INDIVIDUAL #
3ZZZ86105ZOTHERCALIFORNIABLUE CROSS/SHIELD GROUP
4T04348MEDICARE UPINCALIFORNIA
5WDC11453AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAINDIVIDUAL ID NUMBER
6WDC6639MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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