Provider Demographics
NPI:1346402278
Name:JOYCE MARIE WOODWORTH,DC
Entity Type:Organization
Organization Name:JOYCE MARIE WOODWORTH,DC
Other - Org Name:TEMPLETON CHIROPRACTIC AND BODYWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WOODWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-434-2500
Mailing Address - Street 1:65 S MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-8703
Mailing Address - Country:US
Mailing Address - Phone:805-434-2500
Mailing Address - Fax:805-434-2589
Practice Address - Street 1:65 S MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-8703
Practice Address - Country:US
Practice Address - Phone:805-434-2500
Practice Address - Fax:805-434-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty