=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801486816
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSHUA CHARLES MCLAUGHLIN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2021
-----------------------------------------------------
Last Update Date | 01/23/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 VANDERBILT PARK DRIVE #115
-----------------------------------------------------
City | ASHVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-274-2221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 VANDERBILT PARK DRIVE #115
-----------------------------------------------------
City | ASHVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TRUSTEE
-----------------------------------------------------
Name | JOSHUA MCLAUGHLIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-274-2221
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------