Provider Demographics
NPI:1346459534
Name:FRENCH, JOSHUA R (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:R
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-983-3217
Mailing Address - Fax:765-983-3219
Practice Address - Street 1:1050 REID PKWY
Practice Address - Street 2:120
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1155
Practice Address - Country:US
Practice Address - Phone:765-962-6053
Practice Address - Fax:765-935-7401
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069277A208600000X
IAR7813208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000724299OtherANTHEM
OH0067189Medicaid
IN201041520Medicaid
IN201041520Medicaid