Provider Demographics
NPI:1376980615
Name:BECHTEL, JOSHAWA (DC)
Entity Type:Individual
Prefix:
First Name:JOSHAWA
Middle Name:
Last Name:BECHTEL
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 1:415 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2769
Mailing Address - Country:US
Mailing Address - Phone:270-737-7597
Mailing Address - Fax:
Practice Address - Street 1:508 WILLIAM THOMASON BYU
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-1489
Practice Address - Country:US
Practice Address - Phone:270-259-9199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor