MEDICARE: DR. CHE LAMONT JOPLIN D.C., MUAC

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
1	111N00000X	Chiropractor	0104555968	VA

General Provider Information

NPI Number	:	1013954254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHE LAMONT JOPLIN D.C., MUAC

Provider Business Mailing Address
First Line	:	3516 PLANK RD
Second Line	:	STE 6A
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-6861
Country	:	US
Telephone Number	:	540-412-2448
Fax Number	:	540-412-2459

Provider Business Practice Location Address
First Line	:	3516 PLANK RD
Second Line	:	STE 6A
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-6861
Country	:	US
Telephone Number	:	540-412-2448
Fax Number	:	540-412-2459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	11/06/2009

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