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Contact Information

BRUCE E JOHNSON, CHIROPRACTOR
4627 W HOMEFIELD DR
SIOUX FALLS, SD57106-3511
 Phone: 605-336-2010
 Fax: 605-336-0249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRUCE E JOHNSON · (Male)

NPI # 1316927288
Status Active
Credentials CHIROPRACTOR
Entity Individual
Enumeration date 01/18/2006
Last updated 11/06/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • SD License # 602
  • SD Medicaid 7600882
  • Other 248015 MIDLAND
  • SD Other 20860 SIOUX VALLEY HEALTH PLAN
  • SD Other 4994546 WELLMARK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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