Doctor Name: | DR. JOSHUA ROBERT WOLFRAM |
NPI Number: | 1356671341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 3989 |
Business Practice Address: | 4356 Commercial St Se Salem, OR - 973023914 |
Business Phone Number: | 5033839375 |
Business Fax Number: | 5036891520 |
Mailing Address: | 4356 Commercial St Se, SALEM |
State: | OR |
Postal Code: | 973023914 |
Phone Number: | 5036891216 |
Fax Number: | 5036891520 |
NPI Enumeration Date: | 01/13/2010 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |