Individual provider · Type 1 NPI
Jay W. Johnson, DC
Chiropractor · Detroit Lakes, MN
NPI number
1679760219
Active
Practice location
1208 Washington Ave
Detroit Lakes, MN 56501-3906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2718 (MN) |
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.
Another provider at this address
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About NPI 1679760219
Jay W. Johnson, DC's National Provider Identifier is 1679760219, issued on Sep 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Sep 14, 2009.