MEDICARE: MICHAEL JOSEPH JOBE D.C.

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	08002821A	IN

General Provider Information

NPI Number	:	1336538560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOSEPH JOBE D.C.

Provider Business Mailing Address
First Line	:	3895 N WHEELING AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-1776
Country	:	US
Telephone Number	:	765-288-8851
Fax Number	:	765-288-8840

Provider Business Practice Location Address
First Line	:	3895 N WHEELING AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-1776
Country	:	US
Telephone Number	:	765-288-8851
Fax Number	:	765-288-8840

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

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	01/02/2020

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