Provider Demographics
NPI:1114040748
Name:JOINER, WARD (DC)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:
Last Name:JOINER
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:PO BOX 2045
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-2045
Mailing Address - Country:US
Mailing Address - Phone:916-791-5555
Mailing Address - Fax:
Practice Address - Street 1:115 ASCOT DRIVE, SUITE 120
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3437
Practice Address - Country:US
Practice Address - Phone:916-791-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor