Gerald Allen Johnson in Madison - Sports Physician
Gerald Allen Johnson - NPI 1396897252
Gerald Allen Johnson is a Sports Physician in Madison, Alabama. Gerald Allen Johnson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gerald Allen Johnson is 1396897252. The last update date is 2007-07-08.
Gerald Allen Johnson's current location address is 8103 Highway 72 W Ste B, Madison, Alabama. You can contact this provider via phone number 2564610300 and fax number 2568648470. The mailing address for Gerald Allen Johnson is 8103 Highway 72 W Ste B, Madison, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Allen Johnson |
|---|---|
| Address | 8103 Highway 72 W Ste B, Madison, Alabama |
| Phone Number | 2564610300 |
| Fax Number | 2568648470 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1396897252 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8103 Highway 72 W Ste B |
|---|---|
| City | Madison |
| State | Alabama (AL) |
| Post Code | 357589529 |
| Phone Number | 2564610300 |
| Fax Number | 2568648470 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1256 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 515-12982 | AL | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the Gerald Allen Johnson's unique identification number?
The Gerald Allen Johnson has been assigned the NPI (National Provider Identifier) Number 1396897252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Gerald Allen Johnson?
The Gerald Allen Johnson is physically situated at 8103 Highway 72 W Ste B, in the city of Madison, state of AL, with the postal code 357589529.
What is Gerald Allen Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gerald Allen Johnson is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396897252 to Gerald Allen Johnson?
The Gerald Allen Johnson received its 1396897252 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
When was the Gerald Allen Johnson's information last updated?
The Gerald Allen Johnson's information was last updated on 2007-07-08.
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