Individual provider · Type 1 NPI
Timothy Johnson, DC
Chiropractor · Fond Du Lac, WI
NPI number
1407991573
Active
Practice location
195 East 14th St.
Fond Du Lac, WI 54936-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1431-012 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1407991573
Timothy Johnson, DC's National Provider Identifier is 1407991573, issued on Feb 20, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 8, 2007.