Thomas Stillman Elsemore in Lake Stevens - Ophthalmic

Thomas Stillman Elsemore - NPI 1407832983

Thomas Stillman Elsemore is a Ophthalmic in Lake Stevens, Washington. Thomas Stillman Elsemore practices all healthcare services and medical treatments related to Ophthalmic. The NPI Number for Thomas Stillman Elsemore is 1407832983. The last update date is 2010-01-05.

Thomas Stillman Elsemore's current location address is Pmb 954, Lake Stevens, Washington. You can contact this provider via phone number 4253451947. The mailing address for Thomas Stillman Elsemore is Pmb 954, Lake Stevens, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Stillman Elsemore
Address Pmb 954, Lake Stevens, Washington
Phone Number 4253451947
Fax Number
Sole Proprietor Y
Credentials CRNA

NPI Number Detail

NPI Number 1407832983
Provider Enumeration Date 2005-12-16
Last Updated Date 2010-01-05

Provider Mailing Address Detail

Address Pmb 954
City Lake Stevens
State Washington (WA)
Post Code 98258
Phone Number 4253451947
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ophthalmic
Taxonomy 163Wx1100X
Licence No RN00061277
Definition:
A registered nurse who cares for patients undergoing ophthalmologic treatments and procedures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9618489 WA --
202723 WA L & I

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FAQs about Thomas Stillman Elsemore

What is the unique 10-digit identifier code assigned to Thomas Stillman Elsemore by the Centers for Medicare & Medicaid Services?

The Thomas Stillman Elsemore has been issued the NPI (National Provider Identifier) 1407832983 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Thomas Stillman Elsemore's facilities are situated?

The facilities of Thomas Stillman Elsemore are physically located at the following address: Pmb 954, Lake Stevens, WA, 98258.

What is the Thomas Stillman Elsemore's specialty and taxonomy code?

The Thomas Stillman Elsemore's specialty is Ophthalmic, and the corresponding taxonomy code is 163Wx1100X.

When did Thomas Stillman Elsemore receive its 1407832983 assignment?

The Thomas Stillman Elsemore was assigned its 1407832983 on 2005-12-16, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Thomas Stillman Elsemore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas Stillman Elsemore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-05.

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