Basic Information
| Provider Information | |||||||||
| NPI: | 1013259159 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOYNER | ||||||||
| FirstName: | EDWIN | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | II | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3280 URBANA PIKE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | IJAMSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217549406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018742226 | ||||||||
| FaxNumber: | 3018745955 | ||||||||
| Practice Location | |||||||||
| Address1: | 3280 URBANA PIKE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | IJAMSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217549406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018742226 | ||||||||
| FaxNumber: | 3018745955 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2013 | ||||||||
| LastUpdateDate: | 06/19/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 24380 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.