Provider Demographics
NPI:1104163690
Name:BALL, JOSEPHINE N (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:N
Last Name:BALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5125 OLYMPIC DR NW STE 110
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1712
Mailing Address - Country:US
Mailing Address - Phone:253-853-4000
Mailing Address - Fax:253-853-4001
Practice Address - Street 1:115 AIKENS CTR STE 4
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-6210
Practice Address - Country:US
Practice Address - Phone:304-427-4395
Practice Address - Fax:833-672-3272
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor