Provider Demographics
NPI:1720675325
Name:FRIEDMAN, J JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:JOSEPH
Last Name:FRIEDMAN
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 1:7117 W HOOD PL STE 130
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-6722
Mailing Address - Country:US
Mailing Address - Phone:509-820-3828
Mailing Address - Fax:509-820-3827
Practice Address - Street 1:7117 W HOOD PL STE 130
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-6722
Practice Address - Country:US
Practice Address - Phone:509-820-3828
Practice Address - Fax:509-820-3827
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61125299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty