Provider Demographics
NPI:1245281641
Name:HARRINGTON, JOAN MARIE (DPM)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:MARIE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 E MINERAL ST
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-2920
Mailing Address - Country:US
Mailing Address - Phone:160-834-8768
Mailing Address - Fax:160-834-8768
Practice Address - Street 1:915 E MINERAL ST
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-2920
Practice Address - Country:US
Practice Address - Phone:160-834-8768
Practice Address - Fax:160-834-8768
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIWI630213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43218400Medicaid
WI43218400Medicaid