Joshua Grant Antoine, ND
Individual provider Active NPI Naturopath · Bellevue, WA
NPI 1992218556 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1992218556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 12807 NE 28TH St
Bellevue, WA 98005-1703 - Phone
- (214) 762-3011
- Fax
- (214) 762-3011
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
12807 NE 28TH St
Bellevue, WA 98005-1703
Mailing address
12807 NE 28TH St
Bellevue, WA 98005-1703
Phone (214) 762-3011
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. 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.