MEDICARE: JOHNSON CHIROPRACTIC ASSOCIATES

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	MC05834	NJ

General Provider Information

NPI Number	:	1982784732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON CHIROPRACTIC ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 160
Second Line	:
City	:	JAMESBURG
State	:	NJ
Zip	:	08831-0160
Country	:	US
Telephone Number	:	732-521-0679
Fax Number	:	732-521-0168

Provider Business Practice Location Address
First Line	:	315 FORSGATE DR
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-1539
Country	:	US
Telephone Number	:	732-521-0679
Fax Number	:	732-521-0168

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ADAM D JOHNSON
Credential	:	D.C.
Telephone Number	:	732-521-0679

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	09/24/2007

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