Provider Demographics
NPI:1992218556
Name:ANTOINE, JOSHUA GRANT (ND)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:GRANT
Last Name:ANTOINE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12807 NE 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1703
Mailing Address - Country:US
Mailing Address - Phone:214-762-3011
Mailing Address - Fax:
Practice Address - Street 1:12807 NE 28TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1703
Practice Address - Country:US
Practice Address - Phone:214-762-3011
Practice Address - Fax:214-762-3011
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath