Provider Demographics
NPI:1831286624
Name:BOSHELL, JOSHUA ALEXANDE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALEXANDE
Last Name:BOSHELL
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 1:84 HWY 195
Mailing Address - Street 2:STE B
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35503-6491
Mailing Address - Country:US
Mailing Address - Phone:205-387-2006
Mailing Address - Fax:205-387-0118
Practice Address - Street 1:84 HWY 195
Practice Address - Street 2:STE B
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503-6491
Practice Address - Country:US
Practice Address - Phone:205-387-2006
Practice Address - Fax:205-387-0118
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU98704Medicare UPIN