Jodi C Negrete in Olympia - Specialist

Jodi C Negrete - NPI 1679637003

Jodi C Negrete is a Specialist in Olympia, Washington. Jodi C Negrete practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jodi C Negrete is 1679637003. The last update date is 2008-04-16.

Jodi C Negrete's current location address is 1025 Black Lake Blvd Sw, Olympia, Washington. You can contact this provider via phone number 3604026284. The mailing address for Jodi C Negrete is 1025 Black Lake Blvd Sw, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jodi C Negrete
Address 1025 Black Lake Blvd Sw, Olympia, Washington
Phone Number 3604026284
Fax Number
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1679637003
Provider Enumeration Date 2006-12-20
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 1025 Black Lake Blvd Sw
City Olympia
State Washington (WA)
Post Code 985021120
Phone Number 3604026284
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA00020160
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
MA00020160 WA LMP

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FAQs about Jodi C Negrete

What is the Jodi C Negrete's 1679637003?

The Jodi C Negrete's NPI (National Provider Identifier) Number is 1679637003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jodi C Negrete is located?

The Jodi C Negrete is situated at the following address: 1025 Black Lake Blvd Sw, Olympia, WA, 985021120.

What is the Jodi C Negrete's area of specialization and corresponding taxonomy classification?

The Jodi C Negrete'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 the Jodi C Negrete receive its 1679637003 assignment from the Centers for Medicare & Medicaid Services?

The Jodi C Negrete was assigned its 1679637003 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date were the details related to Jodi C Negrete most recently updated or revised?

The information pertaining to Jodi C Negrete, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-16.

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