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JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC NPI 1679058093


NPI Information

NPI: 1679058093
Provider Name: JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2745 POLE LINE RD
POCATELLO, ID
ZIP 83201
Phone: (208) 234-2225
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JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC is a chiropractor in Pocatello, ID. 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. JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC NPI is 1679058093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2745 POLE LINE RD
POCATELLO, ID
ZIP 83201-111
Phone: (208) 234-2225

The provider's authorized official is Gary L Johnson .
The authorized official title is Owner and has the following contact phone number (208) 234-2225.

The enumeration date for this NPI number is 10/2/2018 and was last updated on 10/2/2018.


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
1111N00000XChiropractorYes

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

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