L A Professional Service Corp. in Bremerton - Family Medicine

L A Professional Service Corp. - NPI 1760551410

L A Professional Service Corp. is a Family Medicine in Bremerton, Washington. L A Professional Service Corp. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for L A Professional Service Corp. is 1760551410. The last update date is 2020-08-22.

L A Professional Service Corp.'s current location address is 804 Callahan Dr # A, Bremerton, Washington. You can contact this provider via phone number 3603779744 and fax number 3603772341. The mailing address for L A Professional Service Corp. is 804 Callahan Dr # A, Bremerton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization L A Professional Service Corp.
Address 804 Callahan Dr # A, Bremerton, Washington
Phone Number 3603779744
Fax Number 3603772341
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING MA
Authorized Official Name Nicklin Griswold Terrilynn
Telephone Number 3604343009

NPI Number Detail

NPI Number 1760551410
Provider Enumeration Date 2006-11-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 804 Callahan Dr # A
City Bremerton
State Washington (WA)
Post Code 983103307
Phone Number 3603779744
Fax Number 3603772341

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2495
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
AF1655 WA REGENCE
1048636 WA --
75138 WA L&I

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FAQs about L A Professional Service Corp.

What is the unique identifier code issued to L A Professional Service Corp. by the Centers for Medicare & Medicaid Services (CMS)?

The L A Professional Service Corp. has been assigned the NPI (National Provider Identifier) 1760551410. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of L A Professional Service Corp.?

The L A Professional Service Corp. is situated at 804 Callahan Dr # A, in the city of Bremerton, state of WA, with the zip code 983103307.

What is L A Professional Service Corp.'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 L A Professional Service Corp. is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the L A Professional Service Corp. receive its 1760551410 assignment from the Centers for Medicare & Medicaid Services?

The L A Professional Service Corp. was assigned its 1760551410 by the Centers for Medicare & Medicaid Services on 2006-11-07.

When was the information regarding L A Professional Service Corp., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to L A Professional Service Corp., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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