Loren B Betteridge in Tacoma - Sports Medicine
Loren B Betteridge - NPI 1023015211
Loren B Betteridge is a Sports Medicine in Tacoma, Washington. Loren B Betteridge practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Loren B Betteridge is 1023015211. The last update date is 2007-08-03.
Loren B Betteridge's current location address is 3733 S Thompson Ave, Tacoma, Washington. You can contact this provider via phone number 2534724473 and fax number 2534743056. The mailing address for Loren B Betteridge is 3733 S Thompson Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loren B Betteridge |
|---|---|
| Address | 3733 S Thompson Ave, Tacoma, Washington |
| Phone Number | 2534724473 |
| Fax Number | 2534743056 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023015211 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2007-08-03 |
Provider Mailing Address Detail
| Address | 3733 S Thompson Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984185013 |
| Phone Number | 2534724473 |
| Fax Number | 2534743056 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 28116 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1065390 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Loren B Betteridge by the Centers for Medicare & Medicaid Services?
The Loren B Betteridge has been issued the NPI (National Provider Identifier) 1023015211 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Loren B Betteridge?
The Loren B Betteridge is physically situated at 3733 S Thompson Ave, in the city of Tacoma, state of WA, with the postal code 984185013.
What is Loren B Betteridge's area of expertise and its corresponding taxonomy classification?
The Loren B Betteridge's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.
When was the Loren B Betteridge's 1023015211 issued?
The Loren B Betteridge's 1023015211 was issued on 2005-07-01.
As of what date were the Loren B Betteridge's details last updated?
The information pertaining to the Loren B Betteridge, including its address, specialty, and other details, was most recently updated on 2007-08-03.