Healthcare Provider Details

I. General information

NPI: 1922109123
Provider Name (Legal Business Name): JOANNE C HUTTON D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ANGLERS RD UNIT 101
LEWES DE
19958-1192
US

IV. Provider business mailing address

110 ANGLERS RD UNIT 101
LEWES DE
19958-1192
US

V. Phone/Fax

Practice location:
  • Phone: 703-403-9439
  • Fax: 302-644-8495
Mailing address:
  • Phone: 703-403-9439
  • Fax: 302-644-8495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000965
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104000464
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: