| 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 |
|---|---|
| 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 |