Healthcare Provider Details

I. General information

NPI: 1780680157
Provider Name (Legal Business Name): JOSEPH ANDREW DUFFY D. C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 E CHURCH ST
CHERRYVILLE NC
28021-9258
US

IV. Provider business mailing address

PO BOX 70
CHERRYVILLE NC
28021-0070
US

V. Phone/Fax

Practice location:
  • Phone: 704-435-4536
  • Fax: 704-435-4537
Mailing address:
  • Phone: 704-435-4536
  • Fax: 704-435-4537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number919
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: