Basic Information
| Provider Information | |||||||||
| NPI: | 1164027058 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FIGUEROA | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | DAVID | ||||||||
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| Mailing Information | |||||||||
| Address1: | 140 BRIGHTWOOD DR | ||||||||
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| City: | RAEFORD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283767258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065731566 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1638 OWEN DR | ||||||||
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| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283043424 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106154000 | ||||||||
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| ProviderEnumerationDate: | 12/01/2020 | ||||||||
| LastUpdateDate: | 12/01/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.