Provider Demographics
NPI:1013079219
Name:MARKIEWICZ, JOSEPH STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEVEN
Last Name:MARKIEWICZ
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 1:520 N BALTIMORE
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501
Mailing Address - Country:US
Mailing Address - Phone:660-665-3370
Mailing Address - Fax:660-665-3394
Practice Address - Street 1:520 N BALTIMORE
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501
Practice Address - Country:US
Practice Address - Phone:660-665-3370
Practice Address - Fax:660-665-3394
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005033800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO14801Medicare ID - Type Unspecified