MEDICARE: DR. JOSHUA MCCARTHY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6004	CO

General Provider Information

NPI Number	:	1053453209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA MCCARTHY D.C.

Provider Business Mailing Address
First Line	:	5777 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3684
Country	:	US
Telephone Number	:	719-264-8500
Fax Number	:	719-264-8511

Provider Business Practice Location Address
First Line	:	5777 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3684
Country	:	US
Telephone Number	:	719-264-8500
Fax Number	:	719-264-8511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	05/02/2011

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