Robert Sidney Johnson in Bemidji - Chiropractor

Robert Sidney Johnson - NPI 1558550178

Robert Sidney Johnson is a Chiropractor in Bemidji, Minnesota. Robert Sidney Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert Sidney Johnson is 1558550178. The last update date is 2007-10-19.

Robert Sidney Johnson's current location address is 3620 Bemidji Ave N, Bemidji, Minnesota. You can contact this provider via phone number 2187515145 and fax number 2184442480. The mailing address for Robert Sidney Johnson is 3620 Bemidji Ave N, Bemidji, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Sidney Johnson
Address 3620 Bemidji Ave N, Bemidji, Minnesota
Phone Number 2187515145
Fax Number 2184442480
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1558550178
Provider Enumeration Date 2007-10-19
Last Updated Date 2007-10-19

Provider Mailing Address Detail

Address 3620 Bemidji Ave N
City Bemidji
State Minnesota (MN)
Post Code 566014333
Phone Number 2187515145
Fax Number 2184442480

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1724
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17453 MN BLUE CROSS BLUE SHEILD ND
82386JO MN BLUE CROSS BLUE SHEILD MN

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FAQs about Robert Sidney Johnson

What is the unique 10-digit identifier code assigned to Robert Sidney Johnson by the Centers for Medicare & Medicaid Services?

The Robert Sidney Johnson has been issued the NPI (National Provider Identifier) 1558550178 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Robert Sidney Johnson is located?

The Robert Sidney Johnson is situated at the following address: 3620 Bemidji Ave N, Bemidji, MN, 566014333.

What is the Robert Sidney Johnson's area of specialization and corresponding taxonomy classification?

The Robert Sidney Johnson's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Robert Sidney Johnson receive the assignment of its 1558550178 from the Centers for Medicare & Medicaid Services?

The Robert Sidney Johnson was issued its 1558550178 by the Centers for Medicare & Medicaid Services on 2007-10-19.

When was the information pertaining to Robert Sidney Johnson most recently updated or revised?

The details related to Robert Sidney Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-19.

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