Mark Robert Jabbusch in Bellevue - Family Medicine
Mark Robert Jabbusch - NPI 1801008552
Mark Robert Jabbusch is a Family Medicine in Bellevue, Washington. Mark Robert Jabbusch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Robert Jabbusch is 1801008552. The last update date is 2011-08-17.
Mark Robert Jabbusch's current location address is 4505 144th Ave Se, Bellevue, Washington. You can contact this provider via phone number 4257471059. The mailing address for Mark Robert Jabbusch is 4505 144th Ave Se, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Robert Jabbusch |
|---|---|
| Address | 4505 144th Ave Se, Bellevue, Washington |
| Phone Number | 4257471059 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801008552 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 4505 144th Ave Se |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980062324 |
| Phone Number | 4257471059 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00015223 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750801 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Robert Jabbusch by the Centers for Medicare & Medicaid Services?
The Mark Robert Jabbusch has been issued the NPI (National Provider Identifier) 1801008552, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Robert Jabbusch's physical address?
The Mark Robert Jabbusch is physically located at 4505 144Th Ave Se, in the city of Bellevue, WA, with the postal code 980062324.
What is the Mark Robert Jabbusch's area of specialization and corresponding taxonomy classification?
The Mark Robert Jabbusch's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801008552 to Mark Robert Jabbusch?
The Centers for Medicare & Medicaid Services originally issued the 1801008552 to Mark Robert Jabbusch on 2007-05-04.
As of what date were the details pertaining to Mark Robert Jabbusch last refreshed?
The information related to the Mark Robert Jabbusch, including its address, specialty, and other relevant details, was last updated on 2011-08-17.