Larry Dean Johnson in Cape Coral - Neurology
Larry Dean Johnson - NPI 1669448155
Larry Dean Johnson is a Neurology in Cape Coral, Florida. Larry Dean Johnson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Larry Dean Johnson is 1669448155. The last update date is 2021-08-17.
Larry Dean Johnson's current location address is 1510 Hancock Bridge Pkwy Ste 6, Cape Coral, Florida. You can contact this provider via phone number 2395745559 and fax number 2395749454. The mailing address for Larry Dean Johnson is 1510 Hancock Bridge Pkwy Ste 6, Cape Coral, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dean Johnson |
|---|---|
| Address | 1510 Hancock Bridge Pkwy Ste 6, Cape Coral, Florida |
| Phone Number | 2395745559 |
| Fax Number | 2395749454 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1669448155 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2021-08-17 |
Provider Mailing Address Detail
| Address | 1510 Hancock Bridge Pkwy Ste 6 |
|---|---|
| City | Cape Coral |
| State | Florida (FL) |
| Post Code | 339901715 |
| Phone Number | 2395745559 |
| Fax Number | 2395749454 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | CH5495 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350053600 | RAILROAD MEDICARE | ||
| 381717200 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Larry Dean Johnson?
The Larry Dean Johnson has been issued the NPI (National Provider Identifier) 1669448155 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Larry Dean Johnson?
The Larry Dean Johnson is situated at 1510 Hancock Bridge Pkwy Ste 6, in the city of Cape Coral, state of FL, with the zip code 339901715.
What is Larry Dean Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Dean Johnson is Neurology, and the taxonomy classification code that categorizes this area of expertise is 111Nn0400X.
On what date did the Larry Dean Johnson receive the assignment of its 1669448155 from the Centers for Medicare & Medicaid Services?
The Larry Dean Johnson was issued its 1669448155 by the Centers for Medicare & Medicaid Services on 2006-02-24.
When was the information pertaining to Larry Dean Johnson most recently updated or revised?
The details related to Larry Dean Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2021-08-17.