John Leonard Brottem in Olympia - Specialist
John Leonard Brottem - NPI 1972566818
John Leonard Brottem is a Specialist in Olympia, Washington. John Leonard Brottem practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Leonard Brottem is 1972566818. The last update date is 2007-07-09.
John Leonard Brottem's current location address is 500 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604138272 and fax number 3604138878. The mailing address for John Leonard Brottem is 500 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Leonard Brottem |
|---|---|
| Address | 500 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3604138272 |
| Fax Number | 3604138878 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972566818 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 500 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065197 |
| Phone Number | 3604138272 |
| Fax Number | 3604138878 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00018177 |
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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 |
|---|---|---|---|
| 8214801 | WA | -- |
Post Comment/ Review Below
What is the John Leonard Brottem's 1972566818?
The John Leonard Brottem's NPI (National Provider Identifier) Number is 1972566818. 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 John Leonard Brottem is located?
The John Leonard Brottem is situated at the following address: 500 Lilly Rd Ne, Olympia, WA, 985065197.
What is the John Leonard Brottem's specialty and taxonomy code?
The John Leonard Brottem's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did John Leonard Brottem receive its 1972566818 assignment from the Centers for Medicare & Medicaid Services?
The John Leonard Brottem was assigned its 1972566818 on 2006-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John Leonard Brottem most recently updated or revised?
The information pertaining to John Leonard Brottem, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY