Provider Demographics
NPI:1164455044
Name:DRAPER, JOSEPH COLLINS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:COLLINS
Last Name:DRAPER
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 1:604 PASTEUR DR STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1145
Mailing Address - Country:US
Mailing Address - Phone:336-316-0827
Mailing Address - Fax:336-316-0828
Practice Address - Street 1:604 PASTEUR DR STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1145
Practice Address - Country:US
Practice Address - Phone:336-316-0827
Practice Address - Fax:336-316-0828
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC46193OtherPARTNERS
NC8183876002OtherCIGNA
NC7994281OtherAETNA
NC085E5OtherBCBS
NCU87100Medicare UPIN
NC8183876002OtherCIGNA