Fassil Belay in Puyallup - Medical

Fassil Belay - NPI 1083647606

Fassil Belay is a Medical in Puyallup, Washington. Fassil Belay practices all healthcare services and medical treatments related to Medical. The NPI Number for Fassil Belay is 1083647606. The last update date is 2019-06-21.

Fassil Belay's current location address is 1703 S Meridian Ste 305, Puyallup, Washington. You can contact this provider via phone number 2538413933. The mailing address for Fassil Belay is 1703 S Meridian Ste 305, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Fassil Belay
Address 1703 S Meridian Ste 305, Puyallup, Washington
Phone Number 2538413933
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1083647606
Provider Enumeration Date 2006-07-08
Last Updated Date 2019-06-21

Provider Mailing Address Detail

Address 1703 S Meridian Ste 305
City Puyallup
State Washington (WA)
Post Code 983717590
Phone Number 2538413933
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA10004862
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00671962 WA RR MEDICARE #
8451080 WA --

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FAQs about Fassil Belay

What is the unique provider identifier assigned to Fassil Belay?

The Fassil Belay has been issued the NPI (National Provider Identifier) 1083647606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Fassil Belay located?

The Fassil Belay is located at 1703 S Meridian Ste 305, Puyallup, WA 983717590.

What is the Fassil Belay's area of specialization and corresponding taxonomy classification?

The Fassil Belay's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

When was the Fassil Belay's 1083647606 issued?

The Fassil Belay's 1083647606 was issued on 2006-07-08.

As of what date were the details related to Fassil Belay most recently updated or revised?

The information pertaining to Fassil Belay, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-21.

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