Joseph John Joly in Fremont - Sports Physician
Joseph John Joly - NPI 1720117179
Joseph John Joly is a Sports Physician in Fremont, California. Joseph John Joly practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Joseph John Joly is 1720117179. The last update date is 2007-07-08.
Joseph John Joly's current location address is 3909 Stevenson Blvd, Fremont, California. You can contact this provider via phone number 5102499037 and fax number 5102499659. The mailing address for Joseph John Joly is 3909 Stevenson Blvd, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph John Joly |
|---|---|
| Address | 3909 Stevenson Blvd, Fremont, California |
| Phone Number | 5102499037 |
| Fax Number | 5102499659 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1720117179 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3909 Stevenson Blvd |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945382312 |
| Phone Number | 5102499037 |
| Fax Number | 5102499659 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC28962 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Joseph John Joly's 1720117179?
The Joseph John Joly's NPI (National Provider Identifier) Number is 1720117179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joseph John Joly?
The Joseph John Joly is situated at 3909 Stevenson Blvd, in the city of Fremont, state of CA, with the zip code 945382312.
What is the Joseph John Joly's specialty and taxonomy code?
The Joseph John Joly's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720117179 to Joseph John Joly?
The Joseph John Joly received its 1720117179 assignment from the Centers for Medicare & Medicaid Services on 2007-03-03.
As of what date were the Joseph John Joly's details last updated?
The information pertaining to the Joseph John Joly, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA