Provider Demographics
NPI:1205961752
Name:JOACHIM, TODD AARON I (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:AARON
Last Name:JOACHIM
Suffix:I
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 1:1036 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5537
Mailing Address - Country:US
Mailing Address - Phone:740-751-6800
Mailing Address - Fax:740-751-6802
Practice Address - Street 1:1036 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5537
Practice Address - Country:US
Practice Address - Phone:740-751-6800
Practice Address - Fax:740-751-6802
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
3001487OtherMEDICAID GROUP
4277931OtherMEDICARE PTAN
OH2337975Medicaid
9385551OtherSOLE OWNED ORG. PTAN
OHU92671Medicare UPIN