| Matthew Johnson, DC | |
|
208 W James St, Paynesville, MN 56362-1219 | |
| (329) 243-7412 | |
| Not Available |
| Full Name | Matthew Johnson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 208 W James St, Paynesville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659088508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7030 (Minnesota) | Primary |
| Provider Name | Vitalife Chiropractic Of Paynesville Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346840733 PECOS PAC ID: 7719395250 Enrollment ID: O20210421001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Johnson, DC 208 W James St, Paynesville, MN 56362-1219 Ph: (320) 243-7412 | Matthew Johnson, DC 208 W James St, Paynesville, MN 56362-1219 Ph: (329) 243-7412 |
Paynesville Chiropractic Clinic, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 319 E Highway 55, Paynesville, MN 56362 Phone: 320-243-7551 Fax: 320-243-7571 | |
Jacklitch Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 645 Lake Ave S, Paynesville, MN 56362 Phone: 320-243-7412 | |
Vitalife Chiropractic Of Paynesville, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 208 W James St, Paynesville, MN 56362 Phone: 320-243-7412 | |
Dr. Randal Joseph Jacklitch, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 645 Lake Ave S, Paynesville, MN 56362 Phone: 320-243-7412 Fax: 320-243-7170 | |
Dr. Elizabeth Pauline Greguson-puppe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 319 E Highway 55, Paynesville, MN 56362 Phone: 320-243-7551 Fax: 320-243-7571 | |
Dr. Courtney Erin Stenger, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 208 W James St, Paynesville, MN 56362 Phone: 320-243-7412 Fax: 320-243-7170 |