Organization Name: | STEPHEN P JOSLIN NP |
NPI Number: | 1326231192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN P JOSLIN (OWNER) |
Mailing Address: | 312 E Main St Talent |
State: | OR US |
Postal Code: | 975409752 |
Phone Number: | 5415359108 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 000032446N1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |