Johnson, Jerry Lee

Johnson, Jerry Lee is an individual health care provider with primary practice located at 4312 Mormon Coulee Rd , La Crosse WI 54601-7908. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Jerry Lee can be contacted via phone (608) 788-7111.

Contact Information

Primary practice address
4312 Mormon Coulee Rd La Crosse WI 54601-7908
Fax: (608) 788-7113
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3987-012 Wisconsin

Profile Details

NPI number 1003907817
LBN Legal business name Johnson, Jerry Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers