Provider Demographics
NPI:1902792765
Name:JOYNER, MICHAEL CHAD
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CHAD
Last Name:JOYNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12770 DRUMDOW LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-5606
Mailing Address - Country:US
Mailing Address - Phone:317-385-0834
Mailing Address - Fax:
Practice Address - Street 1:12770 DRUMDOW LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-5606
Practice Address - Country:US
Practice Address - Phone:317-385-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program