Provider Demographics
NPI:1609373372
Name:SWEENEY, JOSHUA CAMPBELL (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CAMPBELL
Last Name:SWEENEY
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 1:6133 BLUE CIRCLE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9173
Mailing Address - Country:US
Mailing Address - Phone:612-888-5388
Mailing Address - Fax:
Practice Address - Street 1:6133 BLUE CIRCLE DR STE 100
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9173
Practice Address - Country:US
Practice Address - Phone:612-888-5388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6465111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology