Johnson, Jay W

Johnson, Jay W is an individual health care provider with primary practice located at 1208 Washington Ave , Detroit Lakes MN 56501-3906. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Jay W can be contacted via phone (218) 847-2809.

Contact Information

Primary practice address
1208 Washington Ave Detroit Lakes MN 56501-3906
Phone: (218) 847-2809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2718 Minnesota

Profile Details

NPI number 1679760219
LBN Legal business name Johnson, Jay W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 14th, 2009 - about 16 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.

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