Provider Demographics
NPI:1154419943
Name:MINKSTEIN, JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:MINKSTEIN
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 1:1251 MONUMENT BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4477
Mailing Address - Country:US
Mailing Address - Phone:925-685-2002
Mailing Address - Fax:925-685-2005
Practice Address - Street 1:1251 MONUMENT BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4476
Practice Address - Country:US
Practice Address - Phone:925-685-2002
Practice Address - Fax:925-685-2005
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor