Kenneth D Saucke in Olympia - Contractor

Kenneth D Saucke - NPI 1770621245

Kenneth D Saucke is a Contractor in Olympia, Washington. Kenneth D Saucke practices all healthcare services and medical treatments related to Contractor. The NPI Number for Kenneth D Saucke is 1770621245. The last update date is 2008-01-11.

Kenneth D Saucke's current location address is Po Box 11009, Olympia, Washington. You can contact this provider via phone number 3603522037 and fax number 3602927247. The mailing address for Kenneth D Saucke is Po Box 11009, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth D Saucke
Address Po Box 11009, Olympia, Washington
Phone Number 3603522037
Fax Number 3602927247
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1770621245
Provider Enumeration Date 2007-02-04
Last Updated Date 2008-01-11

Provider Mailing Address Detail

Address Po Box 11009
City Olympia
State Washington (WA)
Post Code 985081009
Phone Number 3603522037
Fax Number 3602927247

Provider's Primary Taxonomy Detail

Speciality Contractor
Taxonomy 171W00000X
Licence No MA00017335
Definition:
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MA00017335 WA MASSAGE PRACTICIONER

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FAQs about Kenneth D Saucke

What is the unique identifier code issued to Kenneth D Saucke by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth D Saucke has been assigned the NPI (National Provider Identifier) 1770621245. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kenneth D Saucke's facilities are situated?

The facilities of Kenneth D Saucke are physically located at the following address: Po Box 11009, Olympia, WA, 985081009.

What is Kenneth D Saucke's area of expertise and its corresponding taxonomy classification?

The Kenneth D Saucke's field of specialization is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kenneth D Saucke receive the assignment of its 1770621245 from the Centers for Medicare & Medicaid Services?

The Kenneth D Saucke was issued its 1770621245 by the Centers for Medicare & Medicaid Services on 2007-02-04.

When was the information related to Kenneth D Saucke most recently updated or refreshed?

The details pertaining to the Kenneth D Saucke, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-11.

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