Provider Demographics
NPI:1740222066
Name:STURGIS, JOSHUA BARTON (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:BARTON
Last Name:STURGIS
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 1:1227 16TH ST
Mailing Address - Street 2:P.O. BOX 672
Mailing Address - City:MANSON
Mailing Address - State:IA
Mailing Address - Zip Code:50563-5018
Mailing Address - Country:US
Mailing Address - Phone:712-469-3037
Mailing Address - Fax:
Practice Address - Street 1:1227 16TH ST
Practice Address - Street 2:
Practice Address - City:MANSON
Practice Address - State:IA
Practice Address - Zip Code:50563-5018
Practice Address - Country:US
Practice Address - Phone:712-469-3037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI16356Medicare ID - Type UnspecifiedPROVIDER NUMBER