Stacy Mae Johnson in Zumbrota - Chiropractor
Stacy Mae Johnson - NPI 1861592875
Stacy Mae Johnson is a Chiropractor in Zumbrota, Minnesota. Stacy Mae Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stacy Mae Johnson is 1861592875. The last update date is 2007-07-08.
Stacy Mae Johnson's current location address is 118 E 4th St, Zumbrota, Minnesota. You can contact this provider via phone number 5077327455 and fax number 5077327455. The mailing address for Stacy Mae Johnson is 118 E 4th St, Zumbrota, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Mae Johnson |
|---|---|
| Address | 118 E 4th St, Zumbrota, Minnesota |
| Phone Number | 5077327455 |
| Fax Number | 5077327455 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1861592875 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 E 4th St |
|---|---|
| City | Zumbrota |
| State | Minnesota (MN) |
| Post Code | 559921520 |
| Phone Number | 5077327455 |
| Fax Number | 5077327455 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3569 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6C412FA | MN | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the unique identifier code issued to Stacy Mae Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Stacy Mae Johnson has been assigned the NPI (National Provider Identifier) 1861592875. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Stacy Mae Johnson is physically located?
The Stacy Mae Johnson is physically situated at the following address: 118 E 4Th St, Zumbrota, MN, 559921520.
What is Stacy Mae Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Mae Johnson's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Stacy Mae Johnson receive its 1861592875 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Mae Johnson was assigned its 1861592875 by the Centers for Medicare & Medicaid Services on 2006-09-22.
As of what date was the information pertaining to Stacy Mae Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacy Mae Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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