Provider Demographics
NPI:1235347337
Name:JOFFRION, DONALD E (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:JOFFRION
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 1:1515 102ND AVE
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MI
Mailing Address - Zip Code:49078-9643
Mailing Address - Country:US
Mailing Address - Phone:269-685-9559
Mailing Address - Fax:269-694-5681
Practice Address - Street 1:1515 102ND AVE
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-9643
Practice Address - Country:US
Practice Address - Phone:269-685-9559
Practice Address - Fax:269-694-5681
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004635111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950Z350130OtherBLUE CROSS BLUE SHIELD
MI950Z350130OtherBLUE CROSS BLUE SHIELD
MI0M16030Medicare ID - Type Unspecified