Shane A Futchko is a Medical in San Diego, California. Shane A Futchko practices all healthcare services and medical treatments related to Medical. The NPI Number for Shane A Futchko is 1639357676. The last update date is 2012-07-27.
Shane A Futchko's current location address is 3930 4th Ave, San Diego, California. You can contact this provider via phone number 3522193271. The mailing address for Shane A Futchko is 3930 4th Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane A Futchko |
|---|---|
| Address | 3930 4th Ave, San Diego, California |
| Phone Number | 3522193271 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639357676 |
|---|---|
| Provider Enumeration Date | 2008-02-01 |
| Last Updated Date | 2012-07-27 |
Provider Mailing Address Detail
| Address | 3930 4th Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921033119 |
| Phone Number | 3522193271 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA21690 |
|
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 identification code assigned to Shane A Futchko by the Centers for Medicare & Medicaid Services?
The Shane A Futchko has been issued the NPI (National Provider Identifier) 1639357676. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shane A Futchko's physical address?
The Shane A Futchko is physically located at 3930 4Th Ave, in the city of San Diego, CA, with the postal code 921033119.
What is Shane A Futchko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shane A Futchko's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When was the Shane A Futchko's 1639357676 issued?
The Shane A Futchko's 1639357676 was issued on 2008-02-01.
As of what date were the details related to Shane A Futchko most recently updated or revised?
The information pertaining to Shane A Futchko, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-27.
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