Provider Demographics
NPI:1407078330
Name:WALDSCHMITT, JOSEPH JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:WALDSCHMITT
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 1:6700 N. ORACLE RD.
Mailing Address - Street 2:#110
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7733
Mailing Address - Country:US
Mailing Address - Phone:520-297-5131
Mailing Address - Fax:
Practice Address - Street 1:6700 N. ORACLE RD.
Practice Address - Street 2:#110
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7733
Practice Address - Country:US
Practice Address - Phone:520-297-5131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor