Provider Demographics
NPI:1235134610
Name:HUFFMAN, JOSEPH P (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 S MEMORIAL DR
Mailing Address - Street 2:STE E
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-1272
Mailing Address - Country:US
Mailing Address - Phone:765-593-9355
Mailing Address - Fax:765-593-9466
Practice Address - Street 1:2020 S MEMORIAL DR
Practice Address - Street 2:STE E
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-1272
Practice Address - Country:US
Practice Address - Phone:765-593-9355
Practice Address - Fax:765-593-9466
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001955A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000334372OtherANTHEM PIN NUMBER
IN217540Medicare ID - Type Unspecified