Johnson Chiropractic & Holistic Health Center, Llc | |
1109 Club Village Dr, Suite #104, Columbia, MO 65203-4466 | |
(573) 447-0841 | |
Not Available |
Full Name | Johnson Chiropractic & Holistic Health Center, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1109 Club Village Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881076222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2007034175 (Missouri) | Primary |
Provider Name | Kody R Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700061967 PECOS PAC ID: 8426131509 Enrollment ID: I20080213000084 |
Mailing Address | Practice Location Address |
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Johnson Chiropractic & Holistic Health Center, Llc 1109 Club Village Dr, Suite #104, Columbia, MO 65203-4466 Ph: (573) 447-0841 | Johnson Chiropractic & Holistic Health Center, Llc 1109 Club Village Dr, Suite #104, Columbia, MO 65203-4466 Ph: (573) 447-0841 |
Joyce Megan Simpson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2516 Forum Blvd Ste 102, Columbia, MO 65203 Phone: 573-445-4444 Fax: 573-445-1888 | |
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