Provider Demographics
NPI:1396749875
Name:FINK, JOSHUA M (DC, BS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:FINK
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 STUMP RD
Mailing Address - Street 2:
Mailing Address - City:DARDENNE PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6716
Mailing Address - Country:US
Mailing Address - Phone:636-922-0777
Mailing Address - Fax:636-922-0833
Practice Address - Street 1:1755 STUMP RD
Practice Address - Street 2:
Practice Address - City:DARDENNE PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63368-6716
Practice Address - Country:US
Practice Address - Phone:636-922-0777
Practice Address - Fax:636-922-0833
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002001434111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO170328OtherBLUE CROSS BLUE SHIELD
MO513802OtherHEALTHLINK
MO861060218OtherMUTUAL OF OMAHA COMPANIES
MO861060218OtherHUMANA, INC.
MO861060218OtherUNITED HEALTHCARE
MO3713696OtherCARPENTERS HEALTH & WELFARE
MODB1222OtherRAILROAD MEDICARE
MO568329OtherCOVENTRY HEALTH & LIFE INSURANCE COMPANY
MO86-1060218 003OtherWELFARD EDUCATIONAL FUND
MO861060218OtherCMR
MO861060218OtherUNITED HEALTH CARE
MO861060218OtherMUTUAL OF OMAHA COMPANIES