Shannon Marjorie Fish in Redwood City - Medical
Shannon Marjorie Fish - NPI 1255598793
Shannon Marjorie Fish is a Medical in Redwood City, California. Shannon Marjorie Fish practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon Marjorie Fish is 1255598793. The last update date is 2012-08-03.
Shannon Marjorie Fish's current location address is 450 Broadway St, Redwood City, California. You can contact this provider via phone number 6507236238 and fax number 6507213417. The mailing address for Shannon Marjorie Fish is 450 Broadway St, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Marjorie Fish |
|---|---|
| Address | 450 Broadway St, Redwood City, California |
| Phone Number | 6507236238 |
| Fax Number | 6507213417 |
| Sole Proprietor | N |
| Credentials | SHANNON F |
NPI Number Detail
| NPI Number | 1255598793 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2012-08-03 |
Provider Mailing Address Detail
| Address | 450 Broadway St |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940633132 |
| Phone Number | 6507236238 |
| Fax Number | 6507213417 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA17422 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code assigned to Shannon Marjorie Fish by the Centers for Medicare & Medicaid Services?
The Shannon Marjorie Fish has been issued the NPI (National Provider Identifier) 1255598793, which 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 Shannon Marjorie Fish is located?
The Shannon Marjorie Fish is situated at the following address: 450 Broadway St, Redwood City, CA, 940633132.
What is the Shannon Marjorie Fish's specialty and taxonomy code?
The Shannon Marjorie Fish's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date was the 1255598793 assigned to Shannon Marjorie Fish?
The Shannon Marjorie Fish was issued its 1255598793 on 2008-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shannon Marjorie Fish's information last updated?
The Shannon Marjorie Fish's information was last updated on 2012-08-03.
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