Provider Demographics
NPI:1245626084
Name:BURNELL, JOSHUA JAMES (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JAMES
Last Name:BURNELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:JAMES
Other - Last Name:BURNELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2075 BARKLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6614
Mailing Address - Country:US
Mailing Address - Phone:360-671-3345
Mailing Address - Fax:360-650-1354
Practice Address - Street 1:2075 BARKLEY BLVD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6614
Practice Address - Country:US
Practice Address - Phone:360-671-3345
Practice Address - Fax:360-650-1354
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60748490207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine