Provider Demographics
NPI:1487029989
Name:PEPPING, JOSHUA-JAMES PATRICK (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA-JAMES
Middle Name:PATRICK
Last Name:PEPPING
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 1:102 5TH AVE
Mailing Address - Street 2:1-101
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9699
Mailing Address - Country:US
Mailing Address - Phone:563-271-8331
Mailing Address - Fax:
Practice Address - Street 1:930 S 336TH ST
Practice Address - Street 2:C
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6384
Practice Address - Country:US
Practice Address - Phone:253-874-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60544985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor