Provider Demographics
NPI:1437719812
Name:CHALOUX, JOEL DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:DAVID
Last Name:CHALOUX
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 1:21 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-1812
Mailing Address - Country:US
Mailing Address - Phone:203-525-9904
Mailing Address - Fax:207-801-9289
Practice Address - Street 1:1317 STATE HIGHWAY 102
Practice Address - Street 2:
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-7018
Practice Address - Country:US
Practice Address - Phone:207-801-9277
Practice Address - Fax:207-801-9289
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty