Healthcare Provider Details
I. General information
NPI: 1720240351
Provider Name (Legal Business Name): JOHNSON AND FALK, DC PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2008
Last Update Date: 06/25/2008
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
- Phone: 828-255-0007
- Fax: 828-255-0500
- Phone: 828-255-0007
- Fax: 828-255-0500
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | 847 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
RESA
F.
JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 828-255-0007