Provider Demographics
NPI:1588384523
Name:ATKINS, JOSHUA R
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:R
Last Name:ATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40680 HIGHWAY 41 STE D
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9657
Mailing Address - Country:US
Mailing Address - Phone:559-367-9501
Mailing Address - Fax:
Practice Address - Street 1:5320 HIGHWAY 49 N STE 4
Practice Address - Street 2:
Practice Address - City:MARIPOSA
Practice Address - State:CA
Practice Address - Zip Code:95338-9588
Practice Address - Country:US
Practice Address - Phone:559-683-2084
Practice Address - Fax:209-317-4020
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program