Provider Demographics
NPI:1578898490
Name:WAMPLER, JOEL L (DC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:L
Last Name:WAMPLER
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 54
Mailing Address - Street 2:
Mailing Address - City:SCHAEFFERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17088-0054
Mailing Address - Country:US
Mailing Address - Phone:717-949-4081
Mailing Address - Fax:
Practice Address - Street 1:201 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:SCHAEFFERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17088
Practice Address - Country:US
Practice Address - Phone:717-304-6990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor