| Johnson Chiropractic Clinic | |
|
611 6th St Se Watertown SD 57201-4938 | |
| (605) 882-0100 | |
| (605) 882-6911 |
| Full Name | Johnson Chiropractic Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 2860397536 |
|---|---|
| Medicare Enrollment ID | O20031204001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073781332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 845 (South Dakota) | Primary |
| Provider Name | Scott A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164586590 PECOS PAC ID: 4587569264 Enrollment ID: I20031205000131 |
| Provider Name | Casey R Voehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477824381 PECOS PAC ID: 9638339807 Enrollment ID: I20130131000059 |
| Provider Name | Isaac George Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477104248 PECOS PAC ID: 7810329745 Enrollment ID: I20191115000015 |
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