MEDICARE: ALTERMAN & JOHNSON FAMILY CHIROPRACTORS,PA

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	111NP0017X	Pediatric Chiropractor	CH5720	FL

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629243548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERMAN & JOHNSON FAMILY CHIROPRACTORS,PA

Provider Business Mailing Address
First Line	:	423 3RD ST N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7028
Country	:	US
Telephone Number	:	904-247-3933
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 3RD ST N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7028
Country	:	US
Telephone Number	:	904-247-3933
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. DIANE L JOHNSON
Credential	:
Telephone Number	:	904-247-3933

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/23/2008

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Directions to “ALTERMAN & JOHNSON FAMILY CHIROPRACTORS,PA ” Practice Location

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