Provider Demographics
NPI:1407135148
Name:JOHNSON, ERIN L (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:L
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 AUTUMN AVE
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4616
Mailing Address - Country:US
Mailing Address - Phone:781-585-2331
Mailing Address - Fax:
Practice Address - Street 1:216 AUTUMN AVE
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4616
Practice Address - Country:US
Practice Address - Phone:781-585-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor