Provider Demographics
NPI:1649406661
Name:KAMETZ, JOSEPH P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:KAMETZ
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 1:2562 STATE ST
Mailing Address - Street 2:STE. B
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1663
Mailing Address - Country:US
Mailing Address - Phone:760-729-8802
Mailing Address - Fax:
Practice Address - Street 1:2562 STATE ST
Practice Address - Street 2:STE. B
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1663
Practice Address - Country:US
Practice Address - Phone:760-729-8802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31280111N00000X
UT7266584-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor