| |
22395 Us Highway 331 N, Laurel Hill, FL 32567-3309 | |
(850) 834-2118 | |
(850) 834-3110 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 22395 Us Highway 331 N, Laurel Hill, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952645335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Joe W Johnson |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780804021 PECOS PAC ID: 0648595553 Enrollment ID: I20150220002088 |
Mailing Address | Practice Location Address |
---|---|
Po Box 486, Paxton, FL 32538-0486 Ph: (850) 834-2118 | 22395 Us Highway 331 N, Laurel Hill, FL 32567-3309 Ph: (850) 834-2118 |
Dr. Joe W Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22395 Us Highway 331 N, Laurel Hill, FL 32567 Phone: 850-834-2118 Fax: 850-834-3110 |