Provider Demographics
NPI:1245119874
Name:MCCLAIN, JOSHUA (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:MCCLAIN
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 1:1133 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-8890
Mailing Address - Country:US
Mailing Address - Phone:504-357-1989
Mailing Address - Fax:
Practice Address - Street 1:1133 E PINE ST STE D
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-8891
Practice Address - Country:US
Practice Address - Phone:985-467-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2057111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor