Johnson Chiropractic Inc | |
471 Heritage Park Blvd Ste 3, Layton, UT 84041-5623 | |
(801) 444-1002 | |
(801) 544-3186 |
Full Name | Johnson Chiropractic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 471 Heritage Park Blvd Ste 3, Layton, Utah |
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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1548426513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 952880071202 (Utah) | Primary |
Provider Name | Wayne T Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558342105 PECOS PAC ID: 2860565538 Enrollment ID: I20080715000161 |
Mailing Address | Practice Location Address |
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Johnson Chiropractic Inc 471 Heritage Park Blvd Ste 3, Layton, UT 84041-5623 Ph: (801) 444-1002 | Johnson Chiropractic Inc 471 Heritage Park Blvd Ste 3, Layton, UT 84041-5623 Ph: (801) 444-1002 |
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