Provider Demographics
NPI:1861104481
Name:HOOD, JOSHUA
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:HOOD
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:W17872 COUNTY ROAD H42
Mailing Address - Street 2:
Mailing Address - City:GERMFASK
Mailing Address - State:MI
Mailing Address - Zip Code:49836-9224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W17872 COUNTY ROAD H42
Practice Address - Street 2:
Practice Address - City:GERMFASK
Practice Address - State:MI
Practice Address - Zip Code:49836-9224
Practice Address - Country:US
Practice Address - Phone:906-450-2757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant