Provider Demographics
NPI:1255656757
Name:CHMIELEWSKI, JOSEPH EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:CHMIELEWSKI
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 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:800-404-6050
Mailing Address - Fax:866-313-3397
Practice Address - Street 1:14244 POTRANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-2144
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12811111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12811OtherCHIROPRACTIC LICENSE
WACH61190569OtherCHIROPRACTIC LICENSE
COCHR0008221OtherCHIROPRACTIC LICENSE
WY806OtherCHIROPRACTIC LICENSE
NMDC2270OtherCHIROPRACTIC LICENSE
MTCHI-CHI-LIC-6709OtherCHIROPRACTIC LICENSE
AZ9001OtherCHIROPRACTIC LICENSE
OHDC-05136OtherCHIROPRACTIC LICENSE
VA0104-557750OtherCHIROPRACTIC LICENSE