Johnston, Kim M

Johnston, Kim M is an sole proprietor health care provider with primary practice located at 710 3Rd St. North , Jacksonville Beach FL 32250. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Johnston, Kim M can be contacted via phone (904) 249-1551.

Contact Information

Primary practice address
710 3Rd St. North Jacksonville Beach FL 32250
Phone: (904) 249-1551
Fax: (904) 249-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8655 Florida
Other Service Providers / Acupuncturist 171100000X CH8655 Florida

Profile Details

NPI number 1083719454
LBN Legal business name Johnston, Kim M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated May 27th, 2014 - about 12 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 1083719454 NPPES
Florida Other 89041 BLUE CROSS BLUE SHEILD #
Florida Other AN996 BLUE CROSS BLUE SHEILD #

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