Provider Demographics
NPI:1891079471
Name:VARTY, JOSHUA EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:EDWARD
Last Name:VARTY
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 1:1168 GRATIOT BLVD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48040-2300
Mailing Address - Country:US
Mailing Address - Phone:810-689-9196
Mailing Address - Fax:810-202-0691
Practice Address - Street 1:1168 GRATIOT BLVD
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-2300
Practice Address - Country:US
Practice Address - Phone:810-388-9199
Practice Address - Fax:810-388-9176
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor