LARRY D JOHNSON DC LLC NPI 1366771370

NPI Information

NPI: 1366771370
Provider Name: LARRY D JOHNSON DC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1510 HANCOCK BRIDGE PKWY #6
CAPE CORAL, FL
ZIP 33990
Phone: (239) 574-5559
Get Directions

LARRY D JOHNSON DC LLC is a chiropractor in Cape Coral, FL. 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. LARRY D JOHNSON DC LLC NPI is 1366771370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 HANCOCK BRIDGE PKWY #6
CAPE CORAL, FL
ZIP 33990-715
Phone: (239) 574-5559
Fax: (239) 574-9454

The provider's authorized official is Larry Dean Johnson .
The authorized official title is Mgr and has the following contact phone number (239) 574-5559.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 8/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH5495	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	381717200	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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