Johnson, Mary Jo

Johnson, Mary Jo is an individual health care provider with primary practice located at 1305 W 96Th St Suite C, Indianapolis IN 46260-1192. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Johnson, Mary Jo can be contacted via phone (317) 580-9867.

Contact Information

Primary practice address
1305 W 96Th St Suite C Indianapolis IN 46260-1192
Phone: (317) 580-9867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001438A Indiana

Profile Details

NPI number 1851383491
LBN Legal business name Johnson, Mary Jo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 8th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851383491 NPPES
Indiana MEDICAID 100216510A
Indiana Other 000000189532
Indiana Other 645867

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