DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOSEPH DISPENZA D.C.

MEDICARE:  DR. JOSEPH  DISPENZA  D.C.
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
1111N00000XChiropractor025202CH00002150WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00286072OTHERWARAILROAD MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2330154719OTHERWAFEDERAL CLINC TAX ID

General Provider Information

NPI Number : 1932102274
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH DISPENZA D.C.
Provider Business Mailing Address
First Line : PO BOX 656
Second Line :
City : RAINIER
State : WA
Zip : 98576-0656
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Provider Business Practice Location Address
First Line : 503 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7634
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/16/2014

Similar Medicare Providers

1831122373 — RAINIER CHIROPRACTIC CLINIC
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1518224690 — MS. KATHY LUND LMP
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-480-9505
Practice Fax:
1568899573 — MARK BINGEL DC
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax:
1801269519 — AMBER WOODS D.C.
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1790212009 — NORTHWEST ADVANCED SPINAL CARE PLLC
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1881229953 — KYLE BLAKE
Practice Location Address:
503 1ST ST S STE 4
YELM, WA
98597-7634
Practice Phone: 360-400-5625
Practice Fax:

Directions to “ DR. JOSEPH DISPENZA D.C.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.