Provider Demographics
NPI:1619401064
Name:BROWN, JOAN CHERI' (DC)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:CHERI'
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 1:654 COUNTY ROAD 1459
Mailing Address - Street 2:
Mailing Address - City:VINEMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35179-7664
Mailing Address - Country:US
Mailing Address - Phone:256-962-1308
Mailing Address - Fax:
Practice Address - Street 1:654 COUNTY ROAD 1459
Practice Address - Street 2:
Practice Address - City:VINEMONT
Practice Address - State:AL
Practice Address - Zip Code:35179-7664
Practice Address - Country:US
Practice Address - Phone:256-962-1308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor