Provider Demographics
NPI:1750684031
Name:JOHNS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:JOHNS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-634-2444
Mailing Address - Street 1:291 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2526
Mailing Address - Country:US
Mailing Address - Phone:508-634-2444
Mailing Address - Fax:508-634-2999
Practice Address - Street 1:291 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2526
Practice Address - Country:US
Practice Address - Phone:508-634-2444
Practice Address - Fax:508-634-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADC2900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty