Jarrett Dale Johnson in Biloxi - Chiropractor
Jarrett Dale Johnson - NPI 1629030572
Jarrett Dale Johnson is a Chiropractor in Biloxi, Mississippi. Jarrett Dale Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jarrett Dale Johnson is 1629030572. The last update date is 2012-04-30.
Jarrett Dale Johnson's current location address is 935 Cedar Lake Rd, Biloxi, Mississippi. You can contact this provider via phone number 2284244593 and fax number 2283924001. The mailing address for Jarrett Dale Johnson is 935 Cedar Lake Rd, Biloxi, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jarrett Dale Johnson |
|---|---|
| Address | 935 Cedar Lake Rd, Biloxi, Mississippi |
| Phone Number | 2284244593 |
| Fax Number | 2283924001 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1629030572 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-04-30 |
Provider Mailing Address Detail
| Address | 935 Cedar Lake Rd |
|---|---|
| City | Biloxi |
| State | Mississippi (MS) |
| Post Code | 395322128 |
| Phone Number | 2284244593 |
| Fax Number | 2283924001 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1052 |
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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 |
|---|---|---|---|
| 9052528 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jarrett Dale Johnson by the Centers for Medicare & Medicaid Services?
The Jarrett Dale Johnson has been assigned the NPI (National Provider Identifier) 1629030572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jarrett Dale Johnson?
The Jarrett Dale Johnson is situated at 935 Cedar Lake Rd, in the city of Biloxi, state of MS, with the zip code 395322128.
What is Jarrett Dale Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jarrett Dale Johnson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629030572 to Jarrett Dale Johnson?
The Centers for Medicare & Medicaid Services assigned the 1629030572 to Jarrett Dale Johnson on 2006-04-05.
When was the information pertaining to Jarrett Dale Johnson most recently updated or revised?
The details related to Jarrett Dale Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-30.
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