Provider Demographics
NPI:1609909720
Name:BROWN, JOAN A (DC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 17TH STREET
Mailing Address - Street 2:P.O. BOX 368
Mailing Address - City:RAPIDS CITY
Mailing Address - State:IL
Mailing Address - Zip Code:61278-0368
Mailing Address - Country:US
Mailing Address - Phone:309-496-2332
Mailing Address - Fax:309-496-2096
Practice Address - Street 1:403 17TH STREET
Practice Address - Street 2:
Practice Address - City:RAPIDS CITY
Practice Address - State:IL
Practice Address - Zip Code:61278-0368
Practice Address - Country:US
Practice Address - Phone:309-496-2332
Practice Address - Fax:309-496-2096
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor