| Dr Joshua L Thorp, DC | |
|
Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 | |
| (800) 491-0909 | |
| (866) 313-3397 |
| Full Name | Dr Joshua L Thorp |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | Sc House Calls Inc., Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659773299 | NPI | - | NPPES |
| CH0030218 | Other | DC | CHIROPRACTIC LICENSE |
| 0104-557661 | Other | VA | CHIROPRACTIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CH0030218 (District Of Columbia) | Secondary |
| 111N00000X | Chiropractor | 5053 (South Carolina) | Primary |
| Provider Name | Kooistra Chiropractic Clinic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396018446 PECOS PAC ID: 0042472672 Enrollment ID: O20120427000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua L Thorp, DC Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909 | Dr Joshua L Thorp, DC Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909 |
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