Sean Dominic Cresap in Wenatchee - Specialist
Sean Dominic Cresap - NPI 1225225485
Sean Dominic Cresap is a Specialist in Wenatchee, Washington. Sean Dominic Cresap practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sean Dominic Cresap is 1225225485. The last update date is 2007-10-01.
Sean Dominic Cresap's current location address is 630 N Chelan Ave, Wenatchee, Washington. You can contact this provider via phone number 5096632490 and fax number 5096632147. The mailing address for Sean Dominic Cresap is 630 N Chelan Ave, Wenatchee, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sean Dominic Cresap |
---|---|
Address | 630 N Chelan Ave, Wenatchee, Washington |
Phone Number | 5096632490 |
Fax Number | 5096632147 |
Sole Proprietor | N |
Credentials | C.P.O. |
NPI Number Detail
NPI Number | 1225225485 |
---|---|
Provider Enumeration Date | 2007-10-01 |
Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
Address | 630 N Chelan Ave |
---|---|
City | Wenatchee |
State | Washington (WA) |
Post Code | 988016622 |
Phone Number | 5096632490 |
Fax Number | 5096632147 |
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 |
---|---|---|---|
8419053 | WA | -- |
Post Comment/ Review Below
What is the Sean Dominic Cresap's 1225225485?
The Sean Dominic Cresap's NPI (National Provider Identifier) Number is 1225225485. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sean Dominic Cresap's physical address?
The Sean Dominic Cresap is physically located at 630 N Chelan Ave, in the city of Wenatchee, WA, with the postal code 988016622.
What is Sean Dominic Cresap's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sean Dominic Cresap's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225225485 to Sean Dominic Cresap?
The Centers for Medicare & Medicaid Services originally issued the 1225225485 to Sean Dominic Cresap on 2007-10-01.
As of what date were the Sean Dominic Cresap's details last updated?
The information pertaining to the Sean Dominic Cresap, including its address, specialty, and other details, was most recently updated on 2007-10-01.
NPI Number: 1972504124
Address: 21 Business Park Dr, Branford, CT