Shad Fossen in Long Beach - Rehabilitation Practitioner
Shad Fossen - NPI 1992823264
Shad Fossen is a Rehabilitation Practitioner in Long Beach, California. Shad Fossen practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Shad Fossen is 1992823264. The last update date is 2013-05-24.
Shad Fossen's current location address is 456 Elm Ave, Long Beach, California. You can contact this provider via phone number 5624376717 and fax number 5625906012. The mailing address for Shad Fossen is 456 Elm Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shad Fossen |
|---|---|
| Address | 456 Elm Ave, Long Beach, California |
| Phone Number | 5624376717 |
| Fax Number | 5625906012 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992823264 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2013-05-24 |
Provider Mailing Address Detail
| Address | 456 Elm Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908022426 |
| Phone Number | 5624376717 |
| Fax Number | 5625906012 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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What is the unique identification code assigned to Shad Fossen by the Centers for Medicare & Medicaid Services?
The Shad Fossen has been issued the NPI (National Provider Identifier) 1992823264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shad Fossen is located?
The Shad Fossen is situated at the following address: 456 Elm Ave, Long Beach, CA, 908022426.
What is Shad Fossen's area of expertise and its corresponding taxonomy classification?
The Shad Fossen's field of specialization is Rehabilitation Practitioner, and it falls under the taxonomy code 225400000X, which categorizes healthcare providers based on their areas of practice.
When did Shad Fossen receive its 1992823264 assignment?
The Shad Fossen was assigned its 1992823264 on 2007-03-26, which is the date when this unique identifier was issued to the organization.
When was the Shad Fossen's information last updated?
The Shad Fossen's information was last updated on 2013-05-24.
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