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Individual

DR. JOSHUA FOTHERGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
68 N HIGH ST BLDG A, NEW ALBANY, OH 43054-7153
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 477-7654
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4170
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4170
OHIO BOARD OF CHIROPRACTIC
OH
Enumeration date
08/16/2011
Last updated
09/17/2019
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