Healthcare Provider Details

I. General information

NPI: 1992228191
Provider Name (Legal Business Name): JOHN JOSEPH FOLTA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N 5TH AVE STE 3
SEQUIM WA
98382-5062
US

IV. Provider business mailing address

625 N 5TH AVE STE 3
SEQUIM WA
98382-5062
US

V. Phone/Fax

Practice location:
  • Phone: 360-504-7219
  • Fax:
Mailing address:
  • Phone: 360-504-7219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60775234
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8958
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: