Provider Demographics
NPI:1972022911
Name:PANNELL, JOSHUA COLEMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:COLEMAN
Last Name:PANNELL
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 1:5732 HIGHWAY 150 E
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-6770
Mailing Address - Country:US
Mailing Address - Phone:828-455-1819
Mailing Address - Fax:844-358-0277
Practice Address - Street 1:5732 NC HWY 150 E
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037
Practice Address - Country:US
Practice Address - Phone:049-660-8167
Practice Address - Fax:844-358-0277
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty