MEDICARE: DR. ROBERT TOVEY JOHNSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-26289	CA
2	111N00000X	Chiropractor	3498	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	611981700	OTHER		DEPT OF LABOR FECA #

General Provider Information

NPI Number	:	1891792131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT TOVEY JOHNSON DC

Provider Business Mailing Address
First Line	:	1043 CHETCO AVE # 141
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-7152
Country	:	US
Telephone Number	:	541-708-2060
Fax Number	:	541-982-7019

Provider Business Practice Location Address
First Line	:	603 HEMLOCK ST STE 3B
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-9425
Country	:	US
Telephone Number	:	541-708-2060
Fax Number	:	541-982-7019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	05/08/2024

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