Dr. Edward Francis Johnson , DC
Chiropractor • Clearlake, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Johnson, DC was a registered Chiropractor practicing in Clearlake, CA. Throughout an active medical career spanning 12 years, Dr. Johnson provided care at the practice location at 14510 LAKESHORE DR until profile deactivation on 2019-04-09.
Practice Location & Contact Primary Location
14510 Lakeshore Dr
Clearlake, CA 95422
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Clearlake, CA
Practicing in Clearlake, CA (12100 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 09, 2019
NPI status registered as active in NPPES database
Registered at 14510 LAKESHORE DR, CLEARLAKE, CA 95422 (Tel: 7079953522)
Registered at PO BOX 5055, CLEARLAKE, CA 95422 (Tel: 7079953522)
Recorded as EDWARD JOHNSON, DC
Chiropractor (License #DC21010 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 5055
Clearlake, CA 95422
Phone: 7079953522
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