Johnson Chiropractic Clinic | |
611 6th St Se Watertown SD 57201-4938 | |
(605) 882-0100 | |
(605) 882-6911 |
Full Name | Johnson Chiropractic Clinic |
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Speciality | Clinic/Center |
Location | 611 6th St Se, Watertown, South Dakota |
Authorized Official Name and Position | Scott Anthony Johnson (DOCTOR / CEO) |
Authorized Official Contact | 6058820100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnson Chiropractic Clinic 611 6th St Se Watertown SD 57201-4938 Ph: (605) 882-0100 | Johnson Chiropractic Clinic 611 6th St Se Watertown SD 57201-4938 Ph: (605) 882-0100 |
NPI Number | 1073781332 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 10/06/2011 |
Medicare PECOS PAC ID | 2860397536 |
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Medicare Enrollment ID | O20031204001202 |
Identifier | Type | State | Issuer |
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1073781332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 845 (South Dakota) | Primary |
Provider Name | Scott A Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164586590 PECOS PAC ID: 4587569264 Enrollment ID: I20031205000131 |
Provider Name | Casey R Voehl |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477824381 PECOS PAC ID: 9638339807 Enrollment ID: I20130131000059 |
Provider Name | Isaac George Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477104248 PECOS PAC ID: 7810329745 Enrollment ID: I20191115000015 |
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