Stephen Timothy Johnson in Plymouth - Chiropractor
Stephen Timothy Johnson - NPI 1023107950
Stephen Timothy Johnson is a Chiropractor in Plymouth, Minnesota. Stephen Timothy Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stephen Timothy Johnson is 1023107950. The last update date is 2007-07-08.
Stephen Timothy Johnson's current location address is 10700 Old County Road 15, Plymouth, Minnesota. You can contact this provider via phone number 7635442001. The mailing address for Stephen Timothy Johnson is 10700 Old County Road 15, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen Timothy Johnson |
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Address | 10700 Old County Road 15, Plymouth, Minnesota |
Phone Number | 7635442001 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1023107950 |
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Provider Enumeration Date | 2006-10-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10700 Old County Road 15 |
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City | Plymouth |
State | Minnesota (MN) |
Post Code | 55441 |
Phone Number | 7635442001 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 3050 |
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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4C840JO | MN | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Stephen Timothy Johnson by the Centers for Medicare & Medicaid Services?
The Stephen Timothy Johnson has been assigned the NPI (National Provider Identifier) 1023107950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Stephen Timothy Johnson's facilities are situated?
The facilities of Stephen Timothy Johnson are physically located at the following address: 10700 Old County Road 15, Plymouth, MN, 55441.
What is Stephen Timothy Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen Timothy Johnson is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did Stephen Timothy Johnson receive its 1023107950 assignment?
The Stephen Timothy Johnson was assigned its 1023107950 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Stephen Timothy Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen Timothy 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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