Chance Macauley Johnson | Golden Valley, MN • PECOS Search

Chance Macauley Johnson

Chiropractor

Chiropractic Providers

8441 Wayzata Blvd Ste 125, Golden Valley, MN 55426-1378

PECOS Enrollment

Based on the most recent information from CMS, provider Chance Macauley Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1578178356
Provider Type
Individual
Full Name
Johnson, Chance Macauley
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/9/2020
Last Updated
10/20/2020

Contact Information

Practice Location

8441 Wayzata Blvd Ste 125, Golden Valley, MN 55426-1378

Unlisted Fax

Mailing Location

2859 Riverbank Dr NW, Isanti, MN 55040-4326

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 6724 Minnesota