Bruce Edward Johnson
Chiropractic Sports Physician
4627 W Homefield Dr
Sioux Falls
, South Dakota 57106-3511
Bruce Edward Johnson
Chiropractic Sports Physician
4627 W Homefield Dr
Sioux Falls
, South Dakota 57106-3511
(605) 336-0249
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Bruce Edward Johnson
- 4627 W Homefield Dr
- Sioux Falls, SD
- Zip : 57106-3511
- Fax : (605) 336-0249
- Phone : (605) 336-2010
Second Address
- Bruce Edward Johnson
- 4627 W Homefield Dr
- Sioux Falls, SD
- Zip : 57106-3511
- Fax : (605) 336-0249
- Phone : (605) 336-2010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 602 | SD |
National Provider Identifier
| NPI | 1316927288 |
|---|---|
| Provider Name | Bruce Edward Johnson |
| First Address | Sioux Falls, SD 57106-3511 |
| Second Address | Sioux Falls, SD 57106-3511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 06/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20860 | SIOUX VALLEY HEALTH PLAN (01) | SD |
| 248015 | MIDLAND (01) | |
| 4994546 | WELLMARK (01) | SD |
| 7600882 | (05) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.