Provider Demographics
NPI:1609588755
Name:KOHRS, JOSHUA JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:KOHRS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:YOSHUA
Other - Middle Name:YOSEPHIA
Other - Last Name:KOHRS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7000 E GENESEE ST BLDG C
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1131
Mailing Address - Country:US
Mailing Address - Phone:315-314-3900
Mailing Address - Fax:315-907-6326
Practice Address - Street 1:110 BAUGHMANS LN STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4916
Practice Address - Country:US
Practice Address - Phone:301-624-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04158111NR0400X
NY013723111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation