Dr. Chad Allan Johnson, DC
Chiropractor in Augusta, WI. Individual provider (NPI-1).
NPI number1861554792
StatusActive
Last updated in NPPESDec 8, 2009
Details
- NPI
- 1861554792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chad Allan Johnson
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Dec 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3790012 | WI | Yes |
Practice location
112 E Lincoln StAugusta, WI 54722-9234
Phone 715-286-5515 · Fax 715-286-4471
Mailing address
112 E Lincoln StAugusta, WI 54722-9234
Phone 715-286-5515 · Fax 715-286-4471
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