Provider Demographics
NPI:1245549658
Name:HALAMA, JOSEPH CURTIS (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CURTIS
Last Name:HALAMA
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 1:700 COMMERCE DR
Mailing Address - Street 2:STE 120
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9234
Mailing Address - Country:US
Mailing Address - Phone:651-731-9743
Mailing Address - Fax:651-340-4164
Practice Address - Street 1:7945 STONE CREEK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4605
Practice Address - Country:US
Practice Address - Phone:715-570-6862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5390111N00000X
WI4635-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor