Derrek Johnson, D.C.

Chiropractor · Nisswa, MN

Individual Active NPI

NPI number 1043393838

Practice location

5482 County Road 18
Nisswa, MN 56468
Phone
(218) 963-3311
Fax
(218) 963-3313

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NPI record

NPI
1043393838
Entity type
Individual (Type 1)
Enumeration date
October 23, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC4116 MN

Mailing address

PO Box 379
Nisswa, MN 56468-0379
Phone
(218) 963-3311
Fax
(218) 963-3313

About Dr. Johnson

Derrek Johnson, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 5482 County Road 18, Nisswa, MN 56468. The NPI number 1043393838 was assigned on October 23, 2006 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #DC4116 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrek Johnson, D.C.?

The NPI number is 1043393838.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (218) 963-3311.

Where is Dr. Johnson located?

5482 County Road 18, Nisswa, MN 56468.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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