Nelson Johnson, Traci N
Nelson Johnson, Traci N is an individual health care provider with primary practice located at 2377 Cumberland Square Dr , Bettendorf IA 52722-3251. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Nelson Johnson, Traci N can be contacted via phone (563) 359-9541.Contact Information
Primary practice address
2377 Cumberland Square Dr
Bettendorf IA 52722-3251
Phone: (563) 359-9541
Fax: (563) 344-3914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 731689454 | Iowa |
Profile Details
| NPI number | 1205891868 |
|---|---|
| LBN Legal business name | Nelson Johnson, Traci N |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jan 30th, 2017 - about 8 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 | 1205891868 | NPPES |
| Iowa | MEDICAID | 1186874 | |
| Iowa | Other | 48886 |
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