Maria Jacoba Mack in Tacoma - Anesthesiology

Maria Jacoba Mack - NPI 1780619668

Maria Jacoba Mack is a Anesthesiology in Tacoma, Washington. Maria Jacoba Mack practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Maria Jacoba Mack is 1780619668. The last update date is 2007-07-08.

Maria Jacoba Mack's current location address is 1717 S J St, Tacoma, Washington. You can contact this provider via phone number 2536274930 and fax number 2536274649. The mailing address for Maria Jacoba Mack is 1717 S J St, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Jacoba Mack
Address 1717 S J St, Tacoma, Washington
Phone Number 2536274930
Fax Number 2536274649
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1780619668
Provider Enumeration Date 2006-07-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1717 S J St
City Tacoma
State Washington (WA)
Post Code 984054933
Phone Number 2536274930
Fax Number 2536274649

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No MD00021425
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50110 L&I
1015353 WA --
MA5314 B/S REGENCE 90

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FAQs about Maria Jacoba Mack

What is the unique 10-digit identification code assigned to Maria Jacoba Mack by the Centers for Medicare & Medicaid Services?

The Maria Jacoba Mack has been issued the NPI (National Provider Identifier) 1780619668, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Maria Jacoba Mack is located?

The Maria Jacoba Mack is situated at the following address: 1717 S J St, Tacoma, WA, 984054933.

What is Maria Jacoba Mack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Maria Jacoba Mack's specialized field of practice is Anesthesiology, and the corresponding taxonomy code that categorizes this area of specialization is 207L00000X.

On what date did the Maria Jacoba Mack receive its 1780619668 assignment from the Centers for Medicare & Medicaid Services?

The Maria Jacoba Mack was assigned its 1780619668 by the Centers for Medicare & Medicaid Services on 2006-07-11.

When was the information regarding Maria Jacoba Mack most recently updated?

The details pertaining to the Maria Jacoba Mack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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