Johnson, Gerald Allen
Johnson, Gerald Allen is an sole proprietor health care provider with primary practice located at 8103 Highway 72 W Ste B , Madison AL 35758-9529. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Johnson, Gerald Allen can be contacted via phone (256) 461-0300.Contact Information
Primary practice address
8103 Highway 72 W Ste B
Madison AL 35758-9529
Phone: (256) 461-0300
Fax: (256) 864-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1256 | Alabama |
Profile Details
| NPI number | 1396897252 |
|---|---|
| LBN Legal business name | Johnson, Gerald Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 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 | 1396897252 | NPPES |
| Alabama | Other | 515-12982 | BCBS PROVIDER NUMBER |
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