Provider Demographics
NPI:1194356220
Name:SHARPE, JOSHUA LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:LAWRENCE
Last Name:SHARPE
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 1:1887 WHITNEY MESA DR # 9154
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2069
Mailing Address - Country:US
Mailing Address - Phone:702-723-8272
Mailing Address - Fax:
Practice Address - Street 1:7975 BADURA AVE STE 1005
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2156
Practice Address - Country:US
Practice Address - Phone:702-723-8272
Practice Address - Fax:702-723-8272
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVG6707574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor