Provider Demographics
NPI:1861671125
Name:DR. JOSHUA L GILL D.C. PA
Entity Type:Organization
Organization Name:DR. JOSHUA L GILL D.C. PA
Other - Org Name:GILL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-669-8000
Mailing Address - Street 1:1722 N PLUM ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-5501
Mailing Address - Country:US
Mailing Address - Phone:620-669-8000
Mailing Address - Fax:620-669-8030
Practice Address - Street 1:1722 N PLUM ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-5501
Practice Address - Country:US
Practice Address - Phone:620-669-8000
Practice Address - Fax:620-669-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-01617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty