Provider Demographics
NPI:1649213059
Name:APPEL, JOHANNA (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:
Last Name:APPEL
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 1:3019 POLK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-2609
Mailing Address - Country:US
Mailing Address - Phone:619-280-9020
Mailing Address - Fax:619-280-9070
Practice Address - Street 1:3019 POLK AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-2609
Practice Address - Country:US
Practice Address - Phone:619-280-9020
Practice Address - Fax:619-280-9070
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor