Provider Demographics
NPI:1750785564
Name:WOELFEL, JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:WOELFEL
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 1:1900 STATE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4968
Mailing Address - Country:US
Mailing Address - Phone:563-323-1551
Mailing Address - Fax:563-359-0926
Practice Address - Street 1:1900 STATE ST STE 2
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4968
Practice Address - Country:US
Practice Address - Phone:563-323-1551
Practice Address - Fax:563-359-0926
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor