Johnston, Kim M
Johnston, Kim M is an sole proprietor health care provider with primary practice located at 710 3Rd St. North , Jacksonville Beach FL 32250. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Johnston, Kim M can be contacted via phone (904) 249-1551.Contact Information
Primary practice address
710 3Rd St. North
Jacksonville Beach FL 32250
Phone: (904) 249-1551
Fax: (904) 249-1530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | CH8655 | Florida |
Other Service Providers / Acupuncturist | 171100000X | CH8655 | Florida |
Profile Details
NPI number | 1083719454 |
---|---|
LBN Legal business name | Johnston, Kim M |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2006 |
Last updated | May 27th, 2014 - about 10 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 | 1083719454 | NPPES |
Florida | Other | 89041 | BLUE CROSS BLUE SHEILD # |
Florida | Other | AN996 | BLUE CROSS BLUE SHEILD # |
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