Provider Demographics
NPI:1750336947
Name:PARTAIN, JOSHUA LON (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:LON
Last Name:PARTAIN
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 1:4019 112TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-6749
Mailing Address - Country:US
Mailing Address - Phone:806-687-1111
Mailing Address - Fax:806-687-1112
Practice Address - Street 1:4019 112TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-6749
Practice Address - Country:US
Practice Address - Phone:806-687-1111
Practice Address - Fax:806-687-1112
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor