Provider Demographics
NPI:1942372404
Name:PERMEN, JOYCE ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ELIZABETH
Last Name:PERMEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:ELIZABETH
Other - Last Name:PRINS-PERMEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:D,C
Mailing Address - Street 1:1891 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1705
Mailing Address - Country:US
Mailing Address - Phone:360-354-6800
Mailing Address - Fax:
Practice Address - Street 1:1891 FRONT ST
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1705
Practice Address - Country:US
Practice Address - Phone:360-354-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA668920OtherACN
WA0189056OtherDEPT OF LABOR & INDUST
WA668920OtherACN