Provider Demographics
NPI:1801109376
Name:JAMESON, JOSHUA (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:JAMESON
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 1:2711 TROOST AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-1252
Mailing Address - Country:US
Mailing Address - Phone:816-591-0728
Mailing Address - Fax:816-873-1151
Practice Address - Street 1:2711 TROOST AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1252
Practice Address - Country:US
Practice Address - Phone:816-591-0728
Practice Address - Fax:816-873-1151
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor