Provider Demographics
NPI:1821026303
Name:ROBERTS, JOSHUA EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:EDWARD
Last Name:ROBERTS
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 1:1498 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007399-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor