Joshua E Blair, D.C.
Individual provider Active NPI Chiropractor · Columbia, IL
NPI 1831255488 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831255488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 207 N Main St
Suite 103
Columbia, IL 62236-1755 - Phone
- (618) 281-9202
- Fax
- (618) 281-9203
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010158 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair Family Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
207 N Main St
Suite 103
Columbia, IL 62236-1755
Mailing address
207 N Main St
Suite 103
Columbia, IL 62236-1755
Phone (618) 281-9202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006732016 | Other | IL | BLUE CROSS BLUE SHIELD |
| 224744 | Other | IL | GHP |
| 676123 | Other | IL | HEALTHLINK |
| P00148645 | Other | IL | RAILROAD MEDICARE |
| 7999590 | Other | IL | AETNA |
| 666613 | Other | IL | UNITED HEALTH CARE |
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.