Provider Demographics
NPI:1801055496
Name:RACE, JOSHUA WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:WAYNE
Last Name:RACE
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:4050 ARENDELL ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2977
Mailing Address - Country:US
Mailing Address - Phone:315-276-0038
Mailing Address - Fax:252-247-0118
Practice Address - Street 1:4050 ARENDELL ST
Practice Address - Street 2:SUITE D
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2977
Practice Address - Country:US
Practice Address - Phone:315-276-0038
Practice Address - Fax:252-247-0118
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2012-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC3915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2456100Medicare PIN