Provider Demographics
NPI:1235148057
Name:FORSTER, JOSEPH WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:FORSTER
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 1:414 S CHELAN AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2912
Mailing Address - Country:US
Mailing Address - Phone:509-667-7463
Mailing Address - Fax:509-667-2518
Practice Address - Street 1:414 S CHELAN AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2912
Practice Address - Country:US
Practice Address - Phone:509-667-7463
Practice Address - Fax:509-667-2518
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor