Provider Demographics
NPI:1245529593
Name:JOHNSTON, JUILENE HELEN (DC)
Entity type:Individual
Prefix:DR
First Name:JUILENE
Middle Name:HELEN
Last Name:JOHNSTON
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 1:1155 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5155
Mailing Address - Country:US
Mailing Address - Phone:970-903-3765
Mailing Address - Fax:
Practice Address - Street 1:1155 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5155
Practice Address - Country:US
Practice Address - Phone:970-903-3765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDC2159111N00000X
CO5865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor