Bruce Edward Johnson in Sioux Falls - Sports Physician
Bruce Edward Johnson - NPI 1316927288
Bruce Edward Johnson is a Sports Physician in Sioux Falls, South Dakota. Bruce Edward Johnson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bruce Edward Johnson is 1316927288. The last update date is 2007-11-06.
Bruce Edward Johnson's current location address is 4627 W Homefield Dr, Sioux Falls, South Dakota. You can contact this provider via phone number 6053362010 and fax number 6053360249. The mailing address for Bruce Edward Johnson is 4627 W Homefield Dr, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce Edward Johnson |
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Address | 4627 W Homefield Dr, Sioux Falls, South Dakota |
Phone Number | 6053362010 |
Fax Number | 6053360249 |
Sole Proprietor | Y |
Credentials | CHIROPRACT |
NPI Number Detail
NPI Number | 1316927288 |
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Provider Enumeration Date | 2006-01-18 |
Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
Address | 4627 W Homefield Dr |
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City | Sioux Falls |
State | South Dakota (SD) |
Post Code | 571063511 |
Phone Number | 6053362010 |
Fax Number | 6053360249 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 602 |
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 |
---|---|---|---|
20860 | SD | SIOUX VALLEY HEALTH PLAN | |
248015 | MIDLAND | ||
4994546 | SD | WELLMARK | |
7600882 | SD | -- |
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What is the unique 10-digit identifier code issued to Bruce Edward Johnson by the Centers for Medicare & Medicaid Services?
The Bruce Edward Johnson has been assigned the NPI (National Provider Identifier) 1316927288 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bruce Edward Johnson's facilities are situated?
The facilities of Bruce Edward Johnson are physically located at the following address: 4627 W Homefield Dr, Sioux Falls, SD, 571063511.
What is Bruce Edward Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Edward Johnson's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316927288 to Bruce Edward Johnson?
The Centers for Medicare & Medicaid Services assigned the 1316927288 to Bruce Edward Johnson on 2006-01-18.
As of what date was the information regarding Bruce Edward Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Edward Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-06.