Johnson, Beth M
Johnson, Beth M is an individual health care provider with primary practice located at 419 Broadway St , Lincoln IL 62656-2019. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Johnson, Beth M can be contacted via phone (217) 735-2527.Contact Information
Primary practice address
419 Broadway St
Lincoln IL 62656-2019
Phone: (217) 735-2527
Fax: (217) 732-4377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009168 | Illinois |
Profile Details
| NPI number | 1063422681 |
|---|---|
| LBN Legal business name | Johnson, Beth M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063422681 | NPPES |
| Illinois | MEDICAID | 038-009168 | |
| Illinois | Other | CK6783 | |
| Illinois | Other | 350056549 |
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