South Sound Internal Medicine Pllc in Olympia - Contractor
South Sound Internal Medicine Pllc - NPI 1104987734
South Sound Internal Medicine Pllc is a Contractor in Olympia, Washington. South Sound Internal Medicine Pllc practices all healthcare services and medical treatments related to Contractor. The NPI Number for South Sound Internal Medicine Pllc is 1104987734. The last update date is 2020-08-22.
South Sound Internal Medicine Pllc's current location address is 3425 Ensign Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604911112 and fax number 3604938160. The mailing address for South Sound Internal Medicine Pllc is 3425 Ensign Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Sound Internal Medicine Pllc |
|---|---|
| Address | 3425 Ensign Rd Ne, Olympia, Washington |
| Phone Number | 3604911112 |
| Fax Number | 3604938160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Hill Cathy |
| Telephone Number | 3604911112 |
NPI Number Detail
| NPI Number | 1104987734 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3425 Ensign Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065425 |
| Phone Number | 3604911112 |
| Fax Number | 3604938160 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | GAB20096 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149442 | WA | LABOR & INDUSTRIES | |
| 7106826 | WA | -- | |
| 3911 | WA | COUNTY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Sound Internal Medicine Pllc by the Centers for Medicare & Medicaid Services?
The South Sound Internal Medicine Pllc has been issued the NPI (National Provider Identifier) 1104987734 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the South Sound Internal Medicine Pllc located?
The South Sound Internal Medicine Pllc is located at 3425 Ensign Rd Ne, Olympia, WA 985065425.
What is South Sound Internal Medicine Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Sound Internal Medicine Pllc is Contractor, and the taxonomy code that classifies this field of practice is 171W00000X.
When did the South Sound Internal Medicine Pllc receive its 1104987734?
The South Sound Internal Medicine Pllc was issued its 1104987734 on 2006-12-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to South Sound Internal Medicine Pllc last refreshed?
The information related to the South Sound Internal Medicine Pllc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY