Provider Demographics
NPI:1194897967
Name:IUVARA, JOSEPH C (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:IUVARA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4695 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1375
Mailing Address - Country:US
Mailing Address - Phone:614-471-9500
Mailing Address - Fax:614-418-9391
Practice Address - Street 1:4695 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1375
Practice Address - Country:US
Practice Address - Phone:614-471-9500
Practice Address - Fax:614-418-9391
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHJ04032201Medicare ID - Type Unspecified
OHU59405Medicare UPIN