Provider Demographics
NPI:1194385336
Name:BRIGGS, JOSHUA CONRAD (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CONRAD
Last Name:BRIGGS
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 1:23214 MACKEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:16403-5028
Mailing Address - Country:US
Mailing Address - Phone:814-853-7842
Mailing Address - Fax:
Practice Address - Street 1:2700 W 21ST ST STE 8
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-6916
Practice Address - Country:US
Practice Address - Phone:814-407-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011473111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor