Joseph Hamilton Muldoon, D,C,

Individual provider Active NPI Nutrition Chiropractor · Slayton, MN

NPI 1487788063 · NPPES record last updated Oct 16, 2007

Key facts

NPI
1487788063
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Chiropractor 111NN1001X
License
2963 (MN)
Practice address
2710 Broadway Ave
Slayton, MN 56172-1314
Phone
(507) 836-8971
Fax
(507) 836-8972
NPI assigned
Mar 15, 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)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Enhancement Centers, P.a. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2963 MN Yes

Addresses

Primary practice location

2710 Broadway Ave
Slayton, MN 56172-1314

Mailing address

2710 Broadway Ave
Slayton, MN 56172-1314
Phone (507) 836-8971

Other providers in Slayton, MN

All providers in Slayton, MN · Nutrition Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.