Provider Demographics
NPI:1730893280
Name:SOPCHAK, JOSHUA WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WILLIAM
Last Name:SOPCHAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7555 FREDLE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9417
Mailing Address - Country:US
Mailing Address - Phone:440-352-0444
Mailing Address - Fax:
Practice Address - Street 1:7555 FREDLE DR STE 230
Practice Address - Street 2:
Practice Address - City:CONCORD TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44077-9417
Practice Address - Country:US
Practice Address - Phone:440-352-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH05220111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner