Phillip Randall Ingram in Longbranch - Medical
Phillip Randall Ingram - NPI 1942262589
Phillip Randall Ingram is a Medical in Longbranch, Washington. Phillip Randall Ingram practices all healthcare services and medical treatments related to Medical. The NPI Number for Phillip Randall Ingram is 1942262589. The last update date is 2007-07-08.
Phillip Randall Ingram's current location address is 16809 88th Street Kps, Longbranch, Washington. You can contact this provider via phone number 2538844315. The mailing address for Phillip Randall Ingram is 16809 88th Street Kps, Longbranch, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Randall Ingram |
|---|---|
| Address | 16809 88th Street Kps, Longbranch, Washington |
| Phone Number | 2538844315 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1942262589 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16809 88th Street Kps |
|---|---|
| City | Longbranch |
| State | Washington (WA) |
| Post Code | 983519521 |
| Phone Number | 2538844315 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10002587 |
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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 identification code assigned to Phillip Randall Ingram by the Centers for Medicare & Medicaid Services?
The Phillip Randall Ingram has been issued the NPI (National Provider Identifier) 1942262589. 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 Phillip Randall Ingram is located?
The Phillip Randall Ingram is situated at the following address: 16809 88Th Street Kps, Longbranch, WA, 983519521.
What is Phillip Randall Ingram's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phillip Randall Ingram's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942262589 to Phillip Randall Ingram?
The Phillip Randall Ingram received its 1942262589 assignment from the Centers for Medicare & Medicaid Services on 2006-04-06.
As of what date was the information regarding Phillip Randall Ingram, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phillip Randall Ingram, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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