Leyton Endicott Jump in Tenino - Family Medicine

Leyton Endicott Jump - NPI 1851357008

Leyton Endicott Jump is a Family Medicine in Tenino, Washington. Leyton Endicott Jump practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leyton Endicott Jump is 1851357008. The last update date is 2013-06-04.

Leyton Endicott Jump's current location address is Po Box 4020, Tenino, Washington. You can contact this provider via phone number 3602645665 and fax number 3602645666. The mailing address for Leyton Endicott Jump is Po Box 4020, Tenino, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Leyton Endicott Jump
Address Po Box 4020, Tenino, Washington
Phone Number 3602645665
Fax Number 3602645666
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jump Endicott Leyton
Credentials MD
Telephone Number 3602645665

NPI Number Detail

NPI Number 1851357008
Provider Enumeration Date 2006-04-25
Last Updated Date 2013-06-04

Provider Mailing Address Detail

Address Po Box 4020
City Tenino
State Washington (WA)
Post Code 985894020
Phone Number 3602645665
Fax Number 3602645666

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD00022762
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
122559 WA LABOR & INDUSTRIES
7102478 WA --

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FAQs about Leyton Endicott Jump

What is the Leyton Endicott Jump's unique identification number?

The Leyton Endicott Jump has been assigned the NPI (National Provider Identifier) Number 1851357008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Leyton Endicott Jump is physically located?

The Leyton Endicott Jump is situated at the following address: Po Box 4020, Tenino, WA 985894020.

What is Leyton Endicott Jump's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Leyton Endicott Jump's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Leyton Endicott Jump receive its 1851357008 assignment from the Centers for Medicare & Medicaid Services?

The Leyton Endicott Jump was assigned its 1851357008 by the Centers for Medicare & Medicaid Services on 2006-04-25.

As of what date was the information pertaining to Leyton Endicott Jump, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leyton Endicott Jump, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-06-04.

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