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 |
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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 |
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Provider Enumeration Date | 2007-10-19 |
Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
Address | 3620 Bemidji Ave N |
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City | Bemidji |
State | Minnesota (MN) |
Post Code | 566014333 |
Phone Number | 2187515145 |
Fax Number | 2184442480 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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 |
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17453 | MN | BLUE CROSS BLUE SHEILD ND | |
82386JO | MN | BLUE CROSS BLUE SHEILD MN |
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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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