Provider Demographics
NPI:1588991038
Name:DUPUY, JOSHUA CHAD (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHAD
Last Name:DUPUY
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 1:3801 JOHNSON MILL BLVD STE A-B
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-5297
Mailing Address - Country:US
Mailing Address - Phone:479-332-4100
Mailing Address - Fax:479-332-4092
Practice Address - Street 1:3801 JOHNSON MILL BLVD STE A-B
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-5297
Practice Address - Country:US
Practice Address - Phone:479-332-4100
Practice Address - Fax:479-332-4092
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor