Provider Demographics
NPI:1659847788
Name:MCCALL, JOSEPH JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MCCALL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:MCCALL
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5983 WELCH RD
Mailing Address - Street 2:
Mailing Address - City:EMMETT
Mailing Address - State:MI
Mailing Address - Zip Code:48022-1117
Mailing Address - Country:US
Mailing Address - Phone:586-610-3936
Mailing Address - Fax:810-387-2505
Practice Address - Street 1:5983 WELCH RD
Practice Address - Street 2:
Practice Address - City:EMMETT
Practice Address - State:MI
Practice Address - Zip Code:48022-1117
Practice Address - Country:US
Practice Address - Phone:586-610-3936
Practice Address - Fax:810-387-2505
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor