Healthcare Provider Details

I. General information

NPI: 1235134610
Provider Name (Legal Business Name): JOSEPH P HUFFMAN D.C., C.C.S.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 S MEMORIAL DR STE E
NEW CASTLE IN
47362-1272
US

IV. Provider business mailing address

2020 S MEMORIAL DR STE E
NEW CASTLE IN
47362-1272
US

V. Phone/Fax

Practice location:
  • Phone: 765-593-9355
  • Fax: 765-593-9466
Mailing address:
  • Phone: 765-593-9355
  • Fax: 765-593-9466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001955A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: