Provider Demographics
NPI:1851409676
Name:JOSHUA CORPORATION
Entity Type:Organization
Organization Name:JOSHUA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PADRICK
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:757-572-5639
Mailing Address - Street 1:5613 LAWSON HALL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-4618
Mailing Address - Country:US
Mailing Address - Phone:757-572-5639
Mailing Address - Fax:757-464-5292
Practice Address - Street 1:5613 LAWSON HALL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-4618
Practice Address - Country:US
Practice Address - Phone:757-464-6278
Practice Address - Fax:757-464-5292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1851409676Medicaid
FVP001Medicare ID - Type Unspecified