Provider Demographics
NPI:1730830688
Name:GLICK, JOSEPH LIVINGSTONE III (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LIVINGSTONE
Last Name:GLICK
Suffix:III
Gender:M
Credentials:DC
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Mailing Address - Street 1:736 BRAWLEY SCHOOL RD STE E
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9283
Mailing Address - Country:US
Mailing Address - Phone:704-664-1031
Mailing Address - Fax:704-664-1035
Practice Address - Street 1:736 BRAWLEY SCHOOL RD STE E
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9283
Practice Address - Country:US
Practice Address - Phone:704-664-1031
Practice Address - Fax:704-664-1035
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor