Frederick Jarl Thysell in Selah - General Practice

Frederick Jarl Thysell - NPI 1285643544

Frederick Jarl Thysell is a General Practice in Selah, Washington. Frederick Jarl Thysell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Frederick Jarl Thysell is 1285643544. The last update date is 2019-01-11.

Frederick Jarl Thysell's current location address is 1416 Jesica Dr, Selah, Washington. You can contact this provider via phone number 5098293861 and fax number 5094691905. The mailing address for Frederick Jarl Thysell is 1416 Jesica Dr, Selah, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick Jarl Thysell
Address 1416 Jesica Dr, Selah, Washington
Phone Number 5098293861
Fax Number 5094691905
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1285643544
Provider Enumeration Date 2006-08-05
Last Updated Date 2019-01-11

Provider Mailing Address Detail

Address 1416 Jesica Dr
City Selah
State Washington (WA)
Post Code 989421729
Phone Number 5098293861
Fax Number 5094691905

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No MD00024540
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8120578 WA --

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FAQs about Frederick Jarl Thysell

What is the unique 10-digit identification code assigned to Frederick Jarl Thysell by the Centers for Medicare & Medicaid Services?

The Frederick Jarl Thysell has been issued the NPI (National Provider Identifier) 1285643544, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Frederick Jarl Thysell's facilities are situated?

The facilities of Frederick Jarl Thysell are physically located at the following address: 1416 Jesica Dr, Selah, WA, 989421729.

What is the Frederick Jarl Thysell's specialty and taxonomy code?

The Frederick Jarl Thysell's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.

When did the Frederick Jarl Thysell receive its 1285643544?

The Frederick Jarl Thysell was issued its 1285643544 on 2006-08-05, which is the date when the organization was assigned this unique identifier.

As of what date were the Frederick Jarl Thysell's details last updated?

The information pertaining to the Frederick Jarl Thysell, including its address, specialty, and other details, was most recently updated on 2019-01-11.

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