Provider Demographics
NPI:1750437323
Name:MCAULLIFFE, JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MCAULLIFFE
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 1:113 NORTH TURNPIKE RD PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:PA
Mailing Address - Zip Code:18414
Mailing Address - Country:US
Mailing Address - Phone:570-568-7762
Mailing Address - Fax:570-879-5212
Practice Address - Street 1:113 NORTH TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:PA
Practice Address - Zip Code:18414-2222
Practice Address - Country:US
Practice Address - Phone:570-568-7762
Practice Address - Fax:570-879-5212
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007070L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor