Jerome L Bushnell in Issaquah - Family Medicine
Jerome L Bushnell - NPI 1033149307
Jerome L Bushnell is a Family Medicine in Issaquah, Washington. Jerome L Bushnell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerome L Bushnell is 1033149307. The last update date is 2011-01-25.
Jerome L Bushnell's current location address is 100 Ne Gilman Blvd, Issaquah, Washington. You can contact this provider via phone number 4255578000 and fax number 4255578014. The mailing address for Jerome L Bushnell is 100 Ne Gilman Blvd, Issaquah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome L Bushnell |
|---|---|
| Address | 100 Ne Gilman Blvd, Issaquah, Washington |
| Phone Number | 4255578000 |
| Fax Number | 4255578014 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033149307 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 100 Ne Gilman Blvd |
|---|---|
| City | Issaquah |
| State | Washington (WA) |
| Post Code | 9802729250 |
| Phone Number | 4255578000 |
| Fax Number | 4255578014 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00017470 |
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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 |
|---|---|---|---|
| 80067829 | RAILROAD MEDICARE | ||
| B870 | WA | BLUE SHIELD | |
| 39581 | WA | LABOR & INDUSTRY | |
| 175072 | WA | -- | |
| US0818823 | WA | AETNA/USHC PCP | |
| US4119870 | WA | AETNA/USHC SPECIALIST |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerome L Bushnell by the Centers for Medicare & Medicaid Services?
The Jerome L Bushnell has been issued the NPI (National Provider Identifier) 1033149307 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerome L Bushnell?
The Jerome L Bushnell is situated at 100 Ne Gilman Blvd, in the city of Issaquah, state of WA, with the zip code 9802729250.
What is the Jerome L Bushnell's specialty and taxonomy code?
The Jerome L Bushnell's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Jerome L Bushnell receive its 1033149307 assignment?
The Jerome L Bushnell was assigned its 1033149307 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jerome L Bushnell last refreshed?
The information related to the Jerome L Bushnell, including its address, specialty, and other relevant details, was last updated on 2011-01-25.