Provider Demographics
NPI:1831612811
Name:ORRICO, JOSHUA DANIEL
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DANIEL
Last Name:ORRICO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 E CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-6303
Mailing Address - Country:US
Mailing Address - Phone:425-890-8956
Mailing Address - Fax:
Practice Address - Street 1:3560 S BANNOCK ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-3626
Practice Address - Country:US
Practice Address - Phone:303-797-8850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor