Jenelle Maureen Bartusch in Spanaway - Specialist

Jenelle Maureen Bartusch - NPI 1518013051

Jenelle Maureen Bartusch is a Specialist in Spanaway, Washington. Jenelle Maureen Bartusch practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jenelle Maureen Bartusch is 1518013051. The last update date is 2007-07-08.

Jenelle Maureen Bartusch's current location address is 18407 Pacific Ave S, Spanaway, Washington. You can contact this provider via phone number 2538476000 and fax number 2538462757. The mailing address for Jenelle Maureen Bartusch is 18407 Pacific Ave S, Spanaway, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenelle Maureen Bartusch
Address 18407 Pacific Ave S, Spanaway, Washington
Phone Number 2538476000
Fax Number 2538462757
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1518013051
Provider Enumeration Date 2007-01-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 18407 Pacific Ave S
City Spanaway
State Washington (WA)
Post Code 983878374
Phone Number 2538476000
Fax Number 2538462757

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
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
111317 VA LABOR AND INDUSTRY
539OUH WA REGENCY BLUE SHIELD

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FAQs about Jenelle Maureen Bartusch

What is the unique provider identifier assigned to Jenelle Maureen Bartusch?

The Jenelle Maureen Bartusch has been issued the NPI (National Provider Identifier) 1518013051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jenelle Maureen Bartusch is physically located?

The Jenelle Maureen Bartusch is physically situated at the following address: 18407 Pacific Ave S, Spanaway, WA, 983878374.

What is Jenelle Maureen Bartusch's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jenelle Maureen Bartusch is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518013051 to Jenelle Maureen Bartusch?

The Centers for Medicare & Medicaid Services assigned the 1518013051 to Jenelle Maureen Bartusch on 2007-01-26.

As of what date were the details pertaining to Jenelle Maureen Bartusch last refreshed?

The information related to the Jenelle Maureen Bartusch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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