Provider Demographics
NPI:1972631091
Name:MCDOWELL, JOYCE BONNIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:BONNIE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:BONNIE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 42063
Mailing Address - Street 2:10428 KENWOOD RD
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242
Mailing Address - Country:US
Mailing Address - Phone:513-791-6766
Mailing Address - Fax:513-791-0340
Practice Address - Street 1:10428 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-791-6766
Practice Address - Fax:513-791-0340
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1386111N00000X
KY3969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000010856OtherANTHEM BCBS