Provider Demographics
NPI:1447638960
Name:SILVER, JOEL H (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:H
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-0006
Mailing Address - Country:US
Mailing Address - Phone:641-472-1833
Mailing Address - Fax:845-501-1866
Practice Address - Street 1:2000 N COURT ST TRLR 4C
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-2078
Practice Address - Country:US
Practice Address - Phone:641-472-1833
Practice Address - Fax:845-501-1866
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-16
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0019710208D00000X
CAG30425208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice