Healthcare Provider Details

I. General information

NPI: 1346382744
Provider Name (Legal Business Name): RESA F. JOHNSON DC, DACBN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 E CHESTNUT ST SUITE D
ASHEVILLE NC
28801-2350
US

IV. Provider business mailing address

192 E CHESTNUT ST SUITE D
ASHEVILLE NC
28801-2350
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-0007
  • Fax: 828-255-0500
Mailing address:
  • Phone: 828-255-0007
  • Fax: 828-255-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number839
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: