Johnson Chiropractic Clinic | |
600 N Lincoln Ave, Jerome, ID 83338 | |
(208) 324-3730 | |
(208) 324-5512 |
Full Name | Johnson Chiropractic Clinic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 600 N Lincoln Ave, Jerome, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316035512 | NPI | - | NPPES |
8N046 | Other | ID | BLUE CROSS OF IDAHO |
10019692 | Other | ID | BLUE SHIELD OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIRO 584 (Idaho) | Primary |
Provider Name | Laura M Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649357351 PECOS PAC ID: 8628036209 Enrollment ID: I20041229000470 |
Mailing Address | Practice Location Address |
---|---|
Johnson Chiropractic Clinic 600 N Lincoln Ave, Jerome, ID 83338 Ph: (208) 324-3730 | Johnson Chiropractic Clinic 600 N Lincoln Ave, Jerome, ID 83338 Ph: (208) 324-3730 |
Jerome Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 | |
The Health Ranch, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 Fax: 208-324-1492 | |
Mrs. Laura Marie Johnson Stevenson, BS DC CCEP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 600 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-3730 Fax: 208-324-5512 |