Dr. Jerry Lee Johnson
Chiropractor
4312 Mormon Coulee Rd
La Crosse
, Wisconsin 54601-7908
Dr. Jerry Lee Johnson
Chiropractor
4312 Mormon Coulee Rd
La Crosse
, Wisconsin 54601-7908
(608) 788-7113
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jerry Lee Johnson
- Po Box 1891
- La Crosse, WI
- Zip : 54602-1891
- Fax : (608) 788-7113
- Phone : (608) 788-7111
Second Address
- Dr. Jerry Lee Johnson
- 4312 Mormon Coulee Rd
- La Crosse, WI
- Zip : 54601-7908
- Fax : (608) 788-7113
- Phone : (608) 788-7111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3987-012 | WI |
National Provider Identifier
| NPI | 1003907817 |
|---|---|
| Provider Name | Dr. Jerry Lee Johnson |
| First Address | La Crosse, WI 54602-1891 |
| Second Address | La Crosse, WI 54601-7908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 08/07/2007 |
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.