Jimmy Dean Chubbuck in Buckley - Family Medicine
Jimmy Dean Chubbuck - NPI 1285857136
Jimmy Dean Chubbuck is a Family Medicine in Buckley, Washington. Jimmy Dean Chubbuck practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jimmy Dean Chubbuck is 1285857136. The last update date is 2012-11-27.
Jimmy Dean Chubbuck's current location address is 2096 Ryan Rd, Buckley, Washington. You can contact this provider via phone number 3608296304. The mailing address for Jimmy Dean Chubbuck is 2096 Ryan Rd, Buckley, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jimmy Dean Chubbuck |
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Address | 2096 Ryan Rd, Buckley, Washington |
Phone Number | 3608296304 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1285857136 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2012-11-27 |
Provider Mailing Address Detail
Address | 2096 Ryan Rd |
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City | Buckley |
State | Washington (WA) |
Post Code | 983219115 |
Phone Number | 3608296304 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 20387 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1189107 | WA | -- |
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What is the unique 10-digit identification code issued to Jimmy Dean Chubbuck by the Centers for Medicare & Medicaid Services?
The Jimmy Dean Chubbuck has been assigned the NPI (National Provider Identifier) 1285857136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jimmy Dean Chubbuck?
The Jimmy Dean Chubbuck is situated at 2096 Ryan Rd, in the city of Buckley, state of WA, with the zip code 983219115.
What is the area of specialization for Jimmy Dean Chubbuck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jimmy Dean Chubbuck is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did Jimmy Dean Chubbuck receive its 1285857136 assignment from the Centers for Medicare & Medicaid Services?
The Jimmy Dean Chubbuck was assigned its 1285857136 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jimmy Dean Chubbuck's information last updated?
The Jimmy Dean Chubbuck's information was last updated on 2012-11-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC