Healthcare Provider Details

I. General information

NPI: 1851409676
Provider Name (Legal Business Name): JOSHUA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5613 LAWSON HALL RD
VIRGINIA BEACH VA
23455-4618
US

IV. Provider business mailing address

5613 LAWSON HALL RD
VIRGINIA BEACH VA
23455-4618
US

V. Phone/Fax

Practice location:
  • Phone: 757-464-6278
  • Fax: 757-464-5292
Mailing address:
  • Phone: 757-572-5639
  • Fax: 757-464-5292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA J. PADRICK
Title or Position: PRESIDENT
Credential: R.T.
Phone: 757-572-5639