Johnson, Keith Michael

Johnson, Keith Michael is an individual health care provider with primary practice located at 13700 83Rd Way N #200, Maple Grove MN 55369-7015. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Keith Michael can be contacted via phone (763) 420-4242.

Contact Information

Primary practice address
13700 83Rd Way N #200 Maple Grove MN 55369-7015
Phone: (763) 420-4242
Fax: (763) 494-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1844 Minnesota

Profile Details

NPI number 1568553147
LBN Legal business name Johnson, Keith Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
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.

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