Peter B Shelley is a Specialist in Federal Way, Washington. Peter B Shelley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter B Shelley is 1093808891. The last update date is 2008-01-10.
Peter B Shelley's current location address is 32123 1st Ave S, Federal Way, Washington. You can contact this provider via phone number 2538386272 and fax number 2538742690. The mailing address for Peter B Shelley is 32123 1st Ave S, Federal Way, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter B Shelley |
|---|---|
| Address | 32123 1st Ave S, Federal Way, Washington |
| Phone Number | 2538386272 |
| Fax Number | 2538742690 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093808891 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 32123 1st Ave S |
|---|---|
| City | Federal Way |
| State | Washington (WA) |
| Post Code | 980035721 |
| Phone Number | 2538386272 |
| Fax Number | 2538742690 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00018850 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1748805 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Peter B Shelley by the Centers for Medicare & Medicaid Services?
The Peter B Shelley has been issued the NPI (National Provider Identifier) 1093808891. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Peter B Shelley is geographically located?
The Peter B Shelley is physically situated at the following location: 32123 1St Ave S, Federal Way, WA, 980035721.
What is the Peter B Shelley's specialty and taxonomy code?
The Peter B Shelley's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Peter B Shelley receive the assignment of its 1093808891 from the Centers for Medicare & Medicaid Services?
The Peter B Shelley was issued its 1093808891 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details related to Peter B Shelley most recently updated or revised?
The information pertaining to Peter B Shelley, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-10.
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