Provider Demographics
NPI:1912270547
Name:PRANGE, JOSHUA DAVID (DC, MS, BS,)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:PRANGE
Suffix:
Gender:
Credentials:DC, MS, BS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MILL TOWN LOOP STE 1D
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6675
Mailing Address - Country:US
Mailing Address - Phone:406-285-8753
Mailing Address - Fax:
Practice Address - Street 1:43 MILL TOWN LOOP STE 1D
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6675
Practice Address - Country:US
Practice Address - Phone:406-285-8753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-2365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor