Provider Demographics
NPI:1871688028
Name:LINNEY, JOSHUA THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:THOMAS
Last Name:LINNEY
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 1:1507 S KEY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-3583
Mailing Address - Country:US
Mailing Address - Phone:512-556-0400
Mailing Address - Fax:
Practice Address - Street 1:1507 S KEY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-3583
Practice Address - Country:US
Practice Address - Phone:512-556-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160079302Medicaid
TX160079302Medicaid