Provider Demographics
NPI:1033148465
Name:JOYCE, EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:JOYCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 HORSHAM RD
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1143
Mailing Address - Country:US
Mailing Address - Phone:215-540-9290
Mailing Address - Fax:215-540-9188
Practice Address - Street 1:1116 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1143
Practice Address - Country:US
Practice Address - Phone:215-540-9290
Practice Address - Fax:215-540-9188
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005703L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PALI606620Medicare ID - Type Unspecified
PA0760616000Medicare UPIN
PA9383374Medicare UPIN
PA608506Medicare UPIN