Provider Demographics
NPI:1871369736
Name:PANYIK, JOSHUA
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:PANYIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 NW SOUTH OUTER RD STE C
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-1726
Mailing Address - Country:US
Mailing Address - Phone:816-800-8305
Mailing Address - Fax:
Practice Address - Street 1:2525 NW SOUTH OUTER RD STE C
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-1726
Practice Address - Country:US
Practice Address - Phone:816-800-8305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023013954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor