Provider Demographics
NPI:1629388848
Name:HAUPERT, JOANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:HAUPERT
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 1:4858 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3610
Mailing Address - Country:US
Mailing Address - Phone:520-584-0343
Mailing Address - Fax:520-499-3100
Practice Address - Street 1:4858 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3610
Practice Address - Country:US
Practice Address - Phone:520-584-0343
Practice Address - Fax:520-499-3100
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor