Provider Demographics
NPI:1164849188
Name:JOHNSON CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:JOHNSON CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-876-2212
Mailing Address - Street 1:4412 FALLS OF NEUSE RD
Mailing Address - Street 2:STE 111
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6230
Mailing Address - Country:US
Mailing Address - Phone:919-876-2212
Mailing Address - Fax:919-878-3366
Practice Address - Street 1:4412 FALLS OF NEUSE RD
Practice Address - Street 2:STE 111
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6230
Practice Address - Country:US
Practice Address - Phone:919-876-2212
Practice Address - Fax:919-878-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1523261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service