Provider Demographics
NPI:1760148597
Name:PAPINEAU, JOSHUA GEORGE ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:GEORGE ALAN
Last Name:PAPINEAU
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 1:21349 KELLY RD
Mailing Address - Street 2:STE A
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3268
Mailing Address - Country:US
Mailing Address - Phone:810-724-0996
Mailing Address - Fax:
Practice Address - Street 1:125 E CAPAC RD
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-1111
Practice Address - Country:US
Practice Address - Phone:810-724-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor