Jeni Lee Quiriconi in Longview - Specialist

Jeni Lee Quiriconi - NPI 1790743425

Jeni Lee Quiriconi is a Specialist in Longview, Washington. Jeni Lee Quiriconi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeni Lee Quiriconi is 1790743425. The last update date is 2007-07-08.

Jeni Lee Quiriconi's current location address is 1328 9th Ave, Longview, Washington. You can contact this provider via phone number 3607513313 and fax number 3606365255. The mailing address for Jeni Lee Quiriconi is 1328 9th Ave, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeni Lee Quiriconi
Address 1328 9th Ave, Longview, Washington
Phone Number 3607513313
Fax Number 3606365255
Sole Proprietor N
Credentials LMP

NPI Number Detail

NPI Number 1790743425
Provider Enumeration Date 2006-05-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1328 9th Ave
City Longview
State Washington (WA)
Post Code 986323809
Phone Number 3607513313
Fax Number 3606365255

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA12619
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7047 OR LMT LICENSE
MA12619 WA LMP LICENSE
143135 WA LABOR & INDUSTRIES WA STA

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FAQs about Jeni Lee Quiriconi

What is the unique provider identifier assigned to Jeni Lee Quiriconi?

The Jeni Lee Quiriconi has been issued the NPI (National Provider Identifier) 1790743425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jeni Lee Quiriconi is located?

The Jeni Lee Quiriconi is situated at the following address: 1328 9Th Ave, Longview, WA, 986323809.

What is the Jeni Lee Quiriconi's area of specialization and corresponding taxonomy classification?

The Jeni Lee Quiriconi's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did Jeni Lee Quiriconi receive its 1790743425 assignment from the Centers for Medicare & Medicaid Services?

The Jeni Lee Quiriconi was assigned its 1790743425 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Jeni Lee Quiriconi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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