Provider Demographics
NPI:1578705760
Name:ROSS, JOSHUA A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:A
Last Name:ROSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4299 SUGARCREEK DR
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-1330
Mailing Address - Country:US
Mailing Address - Phone:937-848-8500
Mailing Address - Fax:937-848-9500
Practice Address - Street 1:4299 SUGARCREEK DR
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-1330
Practice Address - Country:US
Practice Address - Phone:937-848-8500
Practice Address - Fax:937-848-9500
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor