MEDICARE: DR. JOSEPH JOHN WALDSCHMITT 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	944	AZ

General Provider Information

NPI Number	:	1407078330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN WALDSCHMITT D.C.

Provider Business Mailing Address
First Line	:	6700 N. ORACLE RD.
Second Line	:	#110
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:	520-297-5131
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 N. ORACLE RD.
Second Line	:	#110
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:	520-297-5131
Fax Number	:

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	04/27/2012

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