Shelton Family Medicine Pllc in Shelton - Family Medicine

Shelton Family Medicine Pllc - NPI 1609092964

Shelton Family Medicine Pllc is a Family Medicine in Shelton, Washington. Shelton Family Medicine Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shelton Family Medicine Pllc is 1609092964. The last update date is 2008-10-16.

Shelton Family Medicine Pllc's current location address is 939 Mountain View Drive, Shelton, Washington. You can contact this provider via phone number 3604262653 and fax number 3604277086. The mailing address for Shelton Family Medicine Pllc is 939 Mountain View Drive, Shelton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shelton Family Medicine Pllc
Address 939 Mountain View Drive, Shelton, Washington
Phone Number 3604262653
Fax Number 3604277086
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Lanman Lee Debra
Telephone Number 3604262653

NPI Number Detail

NPI Number 1609092964
Provider Enumeration Date 2007-04-17
Last Updated Date 2008-10-16

Provider Mailing Address Detail

Address 939 Mountain View Drive
City Shelton
State Washington (WA)
Post Code 985844410
Phone Number 3604262653
Fax Number 3604277086

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 601868919
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
G000247600 WA MEDICARE ASSIGNED CLINIC NUMBE

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FAQs about Shelton Family Medicine Pllc

What is the unique identifier code issued to Shelton Family Medicine Pllc by the Centers for Medicare & Medicaid Services?

The Shelton Family Medicine Pllc has been assigned the NPI (National Provider Identifier) 1609092964. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Shelton Family Medicine Pllc located?

The Shelton Family Medicine Pllc is located at 939 Mountain View Drive, Shelton, WA 985844410.

What is Shelton Family Medicine Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shelton Family Medicine Pllc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Shelton Family Medicine Pllc receive its 1609092964 assignment from the Centers for Medicare & Medicaid Services?

The Shelton Family Medicine Pllc was assigned its 1609092964 by the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date were the Shelton Family Medicine Pllc's details last updated?

The information pertaining to the Shelton Family Medicine Pllc, including its address, specialty, and other details, was most recently updated on 2008-10-16.

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