Provider Demographics
NPI:1801921549
Name:JOHNSTON, MARGARET NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:NICOLE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:NICOLE
Other - Last Name:LEGGETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:10651 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1915
Mailing Address - Country:US
Mailing Address - Phone:239-596-2225
Mailing Address - Fax:239-566-7246
Practice Address - Street 1:10651 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1915
Practice Address - Country:US
Practice Address - Phone:239-596-2225
Practice Address - Fax:239-566-7246
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10360111N00000X
FLCH9361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAH815ZOtherMEDICARE PTAN