Provider Demographics
NPI:1710018833
Name:DR. JOSHUA E. ROBERTS, P.C.
Entity Type:Organization
Organization Name:DR. JOSHUA E. ROBERTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-579-7777
Mailing Address - Street 1:1498 BUCK RD
Mailing Address - Street 2:SUITE A-7
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2626
Mailing Address - Country:US
Mailing Address - Phone:215-579-7777
Mailing Address - Fax:215-579-7775
Practice Address - Street 1:1498 BUCK RD
Practice Address - Street 2:SUITE A-7
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2626
Practice Address - Country:US
Practice Address - Phone:215-579-7777
Practice Address - Fax:215-579-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007399L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA028452Medicare ID - Type Unspecified
PAU75747Medicare UPIN