Healthcare Provider Details

I. General information

NPI: 1700626777
Provider Name (Legal Business Name): JOSHUA MICHAEL GAGRIC DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 1ST AVE
CONWAY PA
15027-1602
US

IV. Provider business mailing address

1743 FILMORE ST
ALIQUIPPA PA
15001-2047
US

V. Phone/Fax

Practice location:
  • Phone: 724-876-0230
  • Fax: 724-876-0239
Mailing address:
  • Phone: 404-820-9254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011931
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: