Healthcare Provider Details

I. General information

NPI: 1245379445
Provider Name (Legal Business Name): JOSHUA KOLLMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8912 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE NC
28277-6735
US

IV. Provider business mailing address

4300 PARK RD
CHARLOTTE NC
28209-2271
US

V. Phone/Fax

Practice location:
  • Phone: 704-544-5353
  • Fax: 704-544-5382
Mailing address:
  • Phone: 704-527-7246
  • Fax: 704-527-3080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP17575
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3687
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: