Provider Demographics
NPI:1487344016
Name:MERCHANT, JOSHUA DAVID (DC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DAVID
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 AMAROSA HTS APT 204
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7896
Mailing Address - Country:US
Mailing Address - Phone:731-535-9282
Mailing Address - Fax:
Practice Address - Street 1:4617 AUSTIN BLUFFS PKWY # 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2937
Practice Address - Country:US
Practice Address - Phone:719-266-6431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COEL.2787422111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor