Provider Demographics
NPI:1245383538
Name:JOSHUA P ELDRIDGE DC PC
Entity Type:Organization
Organization Name:JOSHUA P ELDRIDGE DC PC
Other - Org Name:ROCKY MOUNTAIN CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-330-7116
Mailing Address - Street 1:3109 35TH AVE
Mailing Address - Street 2:BUILDING A, SUITE 102
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9475
Mailing Address - Country:US
Mailing Address - Phone:970-330-7116
Mailing Address - Fax:970-330-3317
Practice Address - Street 1:3109 35TH AVE
Practice Address - Street 2:BUILDING A, SUITE 102
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-9475
Practice Address - Country:US
Practice Address - Phone:970-330-7116
Practice Address - Fax:970-330-3317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty