Richard Leif Johnson in Plymouth - Chiropractor

Richard Leif Johnson - NPI 1093840431

Richard Leif Johnson is a Chiropractor in Plymouth, Minnesota. Richard Leif Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard Leif Johnson is 1093840431. The last update date is 2007-07-08.

Richard Leif Johnson's current location address is 16460 41st Ave No, Plymouth, Minnesota. You can contact this provider via phone number 7635501499 and fax number 7635500443. The mailing address for Richard Leif Johnson is 16460 41st Ave No, Plymouth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Leif Johnson
Address 16460 41st Ave No, Plymouth, Minnesota
Phone Number 7635501499
Fax Number 7635500443
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1093840431
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 16460 41st Ave No
City Plymouth
State Minnesota (MN)
Post Code 55446
Phone Number 7635501499
Fax Number 7635500443

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1172
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
44280J0 MN BLUE CROSS
44267J0 MN BLUE CROSS

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FAQs about Richard Leif Johnson

What is the unique 10-digit identifier code issued to Richard Leif Johnson by the Centers for Medicare & Medicaid Services?

The Richard Leif Johnson has been assigned the NPI (National Provider Identifier) 1093840431 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Richard Leif Johnson is located?

The Richard Leif Johnson is situated at the following address: 16460 41St Ave No, Plymouth, MN, 55446.

What is Richard Leif Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard Leif Johnson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date did the Richard Leif Johnson receive its 1093840431 assignment from the Centers for Medicare & Medicaid Services?

The Richard Leif Johnson was assigned its 1093840431 by the Centers for Medicare & Medicaid Services on 2007-02-23.

As of what date was the information regarding Richard Leif Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard Leif Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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