Healthcare Provider Details
I. General information
NPI: 1659773299
Provider Name (Legal Business Name): JOSHUA L THORP DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/25/2014
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
SC HOUSE CALLS INC. 111 DOCTORS CIR.
COLUMBIA SC
29203
US
IV. Provider business mailing address
SC HOUSE CALLS INC. 111 DOCTORS CIR.
COLUMBIA SC
29203
US
V. Phone/Fax
- Phone: 800-491-0909
- Fax: 866-313-3397
- Phone: 800-491-0909
- Fax: 210-468-0682
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | CH0030218 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 5053 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: