Ellis J Salloum in Bremerton - Vascular Surgery
Ellis J Salloum - NPI 1871540088
Ellis J Salloum is a Vascular Surgery in Bremerton, Washington. Ellis J Salloum practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Ellis J Salloum is 1871540088. The last update date is 2022-04-08.
Ellis J Salloum's current location address is 1225 Campbell Way Ste 101, Bremerton, Washington. You can contact this provider via phone number 3604794203 and fax number 2534266344. The mailing address for Ellis J Salloum is 1225 Campbell Way Ste 101, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis J Salloum |
|---|---|
| Address | 1225 Campbell Way Ste 101, Bremerton, Washington |
| Phone Number | 3604794203 |
| Fax Number | 2534266344 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871540088 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2022-04-08 |
Provider Mailing Address Detail
| Address | 1225 Campbell Way Ste 101 |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983103323 |
| Phone Number | 3604794203 |
| Fax Number | 2534266344 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD60941287 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2147693 | WA | -- |
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What is the unique identifier code issued to Ellis J Salloum by the Centers for Medicare & Medicaid Services (CMS)?
The Ellis J Salloum has been assigned the NPI (National Provider Identifier) 1871540088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Ellis J Salloum's specialty and taxonomy code?
The Ellis J Salloum's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
What is the area of specialization for Ellis J Salloum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellis J Salloum is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871540088 to Ellis J Salloum?
The Ellis J Salloum received its 1871540088 assignment from the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information pertaining to Ellis J Salloum most recently updated or revised?
The details related to Ellis J Salloum, including its address, specialty, and other relevant information, were last updated or revised on 2022-04-08.