Jack Mark Fishaut in Friday Harbor - Pediatrics
Jack Mark Fishaut - NPI 1891779195
Jack Mark Fishaut is a Pediatrics in Friday Harbor, Washington. Jack Mark Fishaut practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jack Mark Fishaut is 1891779195. The last update date is 2023-03-07.
Jack Mark Fishaut's current location address is Po Box 796, Friday Harbor, Washington. You can contact this provider via phone number 3603705971 and fax number 3603705980. The mailing address for Jack Mark Fishaut is Po Box 796, Friday Harbor, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Mark Fishaut |
|---|---|
| Address | Po Box 796, Friday Harbor, Washington |
| Phone Number | 3603705971 |
| Fax Number | 3603705980 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891779195 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 796 |
|---|---|
| City | Friday Harbor |
| State | Washington (WA) |
| Post Code | 982500796 |
| Phone Number | 3603705971 |
| Fax Number | 3603705980 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD00040965 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361929500 | PARK NATL L & L | ||
| 532300004 | GROUP HEALTH | ||
| 4952FI | REGENCE BLUE SHIELD | ||
| 912109329 | UNIFORM | ||
| 912109329 | CHPW | ||
| 912109329 | PREMERA BLUE CROSS | ||
| LABOR AND INDUS | 182789 | ||
| 8387367 | DSHS MEDICAID | ||
| 912109329 | FIRST CHOICE | ||
| 8930937 | CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Mark Fishaut by the Centers for Medicare & Medicaid Services?
The Jack Mark Fishaut has been assigned the NPI (National Provider Identifier) 1891779195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Mark Fishaut?
The Jack Mark Fishaut is situated at Po Box 796, in the city of Friday Harbor, state of WA, with the zip code 982500796.
What is Jack Mark Fishaut's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Mark Fishaut is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
When did the Jack Mark Fishaut receive its 1891779195?
The Jack Mark Fishaut was issued its 1891779195 on 2005-12-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jack Mark Fishaut most recently updated or revised?
The information pertaining to Jack Mark Fishaut, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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