Shauna M Richert in Olympia - Dermatology

Shauna M Richert - NPI 1154321453

Shauna M Richert is a Dermatology in Olympia, Washington. Shauna M Richert practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Shauna M Richert is 1154321453. The last update date is 2013-10-22.

Shauna M Richert's current location address is 304 W Bay Dr Nw, Olympia, Washington. You can contact this provider via phone number 3604138760 and fax number 3604138839. The mailing address for Shauna M Richert is 304 W Bay Dr Nw, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Shauna M Richert
Address 304 W Bay Dr Nw, Olympia, Washington
Phone Number 3604138760
Fax Number 3604138839
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154321453
Provider Enumeration Date 2005-07-28
Last Updated Date 2013-10-22

Provider Mailing Address Detail

Address 304 W Bay Dr Nw
City Olympia
State Washington (WA)
Post Code 985024958
Phone Number 3604138760
Fax Number 3604138839

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No MD00035844
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8221830 WA --
GAB20354 WA MEDICARE

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FAQs about Shauna M Richert

What is the unique 10-digit identification code issued to Shauna M Richert by the Centers for Medicare & Medicaid Services?

The Shauna M Richert has been assigned the NPI (National Provider Identifier) 1154321453 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Shauna M Richert is physically located?

The Shauna M Richert is physically situated at the following address: 304 W Bay Dr Nw, Olympia, WA, 985024958.

What is the Shauna M Richert's area of specialization and corresponding taxonomy classification?

The Shauna M Richert's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Shauna M Richert receive its 1154321453 assignment from the Centers for Medicare & Medicaid Services?

The Shauna M Richert was assigned its 1154321453 by the Centers for Medicare & Medicaid Services on 2005-07-28.

When was the information regarding Shauna M Richert most recently updated?

The details pertaining to the Shauna M Richert, including its address, specialty, and other relevant information, were last refreshed on 2013-10-22.

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