Provider Demographics
NPI:1972938405
Name:PIWOSZKIN, JOSEPH W (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:PIWOSZKIN
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 1:4610 CARLYNN DR
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2202
Mailing Address - Country:US
Mailing Address - Phone:574-361-8519
Mailing Address - Fax:
Practice Address - Street 1:4610 CARLYNN DR
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-2202
Practice Address - Country:US
Practice Address - Phone:574-361-8519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012506111N00000X
OH4266111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor