Jamie R Antoine in Kirkland - Sports Medicine

Jamie R Antoine - NPI 1114022969

Jamie R Antoine is a Sports Medicine in Kirkland, Washington. Jamie R Antoine practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jamie R Antoine is 1114022969. The last update date is 2022-03-23.

Jamie R Antoine's current location address is 12911 120th Ave Ne Ste G10, Kirkland, Washington. You can contact this provider via phone number 4258234000 and fax number 4258213550. The mailing address for Jamie R Antoine is 12911 120th Ave Ne Ste G10, Kirkland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie R Antoine
Address 12911 120th Ave Ne Ste G10, Kirkland, Washington
Phone Number 4258234000
Fax Number 4258213550
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114022969
Provider Enumeration Date 2006-09-14
Last Updated Date 2022-03-23

Provider Mailing Address Detail

Address 12911 120th Ave Ne Ste G10
City Kirkland
State Washington (WA)
Post Code 980343048
Phone Number 4258234000
Fax Number 4258213550

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No MD60007110
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1090846 WA --

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FAQs about Jamie R Antoine

What is the Jamie R Antoine's unique identification number?

The Jamie R Antoine has been assigned the NPI (National Provider Identifier) Number 1114022969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Jamie R Antoine is physically located?

The Jamie R Antoine is physically situated at the following address: 12911 120Th Ave Ne Ste G10, Kirkland, WA, 980343048.

What is Jamie R Antoine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jamie R Antoine is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.

On what date did Jamie R Antoine receive its 1114022969 assignment from the Centers for Medicare & Medicaid Services?

The Jamie R Antoine was assigned its 1114022969 on 2006-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jamie R Antoine most recently updated or revised?

The details related to Jamie R Antoine, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-23.

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