Johnson, Dana Wayne
Johnson, Dana Wayne is an individual health care provider with primary practice located at 352 W Maple St Ste B , New Lenox IL 60451-2954. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Dana Wayne can be contacted via phone (815) 485-9191.Contact Information
Primary practice address
352 W Maple St Ste B
New Lenox IL 60451-2954
Phone: (815) 485-9191
Fax: (815) 485-2077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1932290681 |
|---|---|
| LBN Legal business name | Johnson, Dana Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 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 | 1932290681 | NPPES |
| Illinois | Other | 09915065 | BLUE CROSS BLUE SHIELD |
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