Provider Demographics
NPI:1841389806
Name:DINOFF, JOEL LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:LOUIS
Last Name:DINOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2745 SANDY PLAINS RD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4386
Mailing Address - Country:US
Mailing Address - Phone:770-509-2554
Mailing Address - Fax:770-509-2527
Practice Address - Street 1:2745 SANDY PLAINS RD
Practice Address - Street 2:SUITE 134
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4386
Practice Address - Country:US
Practice Address - Phone:770-509-2554
Practice Address - Fax:770-509-2527
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA2705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA58-181-2570OtherTAX ID
GAU35974Medicare UPIN