Provider Demographics
NPI:1356752091
Name:FRENKEL, JOSHUA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:FRENKEL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34719 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8714
Mailing Address - Country:US
Mailing Address - Phone:062-222-1709
Mailing Address - Fax:855-929-1515
Practice Address - Street 1:700 M ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4586
Practice Address - Country:US
Practice Address - Phone:206-222-1709
Practice Address - Fax:855-929-1515
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-11308207W00000X
390200000X
WAMD61259007207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG9038453OtherMEDICARE
WI2211035Medicaid