Joe L Boswell, D.C.

Individual provider Active NPI Chiropractor · Philadelphia, MS

NPI 1124159884 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124159884
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
0370 (MS)
Practice address
1010A E Main St
Philadelphia, MS 39350-2308
Phone
(601) 656-8710
Fax
(601) 389-0760
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0370MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Chiropractic Clinic, Inc. Past
since Jan 8, 1998
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0370 MS Yes

Addresses

Primary practice location

1010A E Main St
Philadelphia, MS 39350-2308

Mailing address

1010A E Main St
Philadelphia, MS 39350-2308
Phone (601) 656-8710

Other providers in Philadelphia, MS

All providers in Philadelphia, MS · Chiropractor in Mississippi

Sources for this page

Verify at the official NPI Registry.