Provider Demographics
NPI:1063795029
Name:COLOPY, JOSEPH AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:AUSTIN
Last Name:COLOPY
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 1:1501 N HIGHWAY 17 UNIT H
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3342
Mailing Address - Country:US
Mailing Address - Phone:843-284-8410
Mailing Address - Fax:843-606-2528
Practice Address - Street 1:1501 N HIGHWAY 17 UNIT H
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3342
Practice Address - Country:US
Practice Address - Phone:843-284-8410
Practice Address - Fax:843-606-2528
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11676111N00000X
SC4971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor