Provider Demographics
NPI:1003209149
Name:SIMPSON, JOYCE MEGAN (DC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MEGAN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NELSON
Mailing Address - State:MO
Mailing Address - Zip Code:65347-1009
Mailing Address - Country:US
Mailing Address - Phone:660-202-7774
Mailing Address - Fax:
Practice Address - Street 1:2516 FORUM BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5405
Practice Address - Country:US
Practice Address - Phone:573-445-4444
Practice Address - Fax:573-445-1888
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015002056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor