Scott Randall Henneman in Tacoma - Diagnostic Radiology
Scott Randall Henneman - NPI 1013173814
Scott Randall Henneman is a Diagnostic Radiology in Tacoma, Washington. Scott Randall Henneman practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Scott Randall Henneman is 1013173814. The last update date is 2018-06-19.
Scott Randall Henneman's current location address is 1304 Fawcett Ave Ste 100, Tacoma, Washington. You can contact this provider via phone number 2537614200 and fax number 2533833553. The mailing address for Scott Randall Henneman is 1304 Fawcett Ave Ste 100, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Randall Henneman |
|---|---|
| Address | 1304 Fawcett Ave Ste 100, Tacoma, Washington |
| Phone Number | 2537614200 |
| Fax Number | 2533833553 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013173814 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2018-06-19 |
Provider Mailing Address Detail
| Address | 1304 Fawcett Ave Ste 100 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984021900 |
| Phone Number | 2537614200 |
| Fax Number | 2533833553 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD60392348 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2029105 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Scott Randall Henneman?
The Scott Randall Henneman has been issued the NPI (National Provider Identifier) 1013173814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Scott Randall Henneman?
The Scott Randall Henneman is physically situated at 1304 Fawcett Ave Ste 100, in the city of Tacoma, state of WA, with the postal code 984021900.
What is Scott Randall Henneman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scott Randall Henneman's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Scott Randall Henneman receive its 1013173814 assignment from the Centers for Medicare & Medicaid Services?
The Scott Randall Henneman was assigned its 1013173814 by the Centers for Medicare & Medicaid Services on 2008-07-31.
When was the information pertaining to Scott Randall Henneman most recently updated or revised?
The details related to Scott Randall Henneman, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-19.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY