Provider Demographics
NPI:1255579017
Name:BALL, JOSHUA TIMOTHY (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:TIMOTHY
Last Name:BALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 S MARKET ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2352
Mailing Address - Country:US
Mailing Address - Phone:717-367-3100
Mailing Address - Fax:717-367-9200
Practice Address - Street 1:36 S MARKET ST STE 101
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2352
Practice Address - Country:US
Practice Address - Phone:717-367-3100
Practice Address - Fax:717-367-9200
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011480111N00000X
PADC10616111N00000X
PADC010616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor