Provider Demographics
NPI:1487888178
Name:STRINGHAM, JOHN PHILIP JR
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PHILIP
Last Name:STRINGHAM
Suffix:JR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:PHILIP
Other - Last Name:STRINGHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:17501 SW 61ST CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1717
Mailing Address - Country:US
Mailing Address - Phone:954-680-0103
Mailing Address - Fax:954-680-0103
Practice Address - Street 1:17501 SW 61ST CT
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-1717
Practice Address - Country:US
Practice Address - Phone:954-680-0103
Practice Address - Fax:954-680-0103
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor