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 |
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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 |
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Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2019-06-21 |
Provider Mailing Address Detail
Address | 1703 S Meridian Ste 305 |
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City | Puyallup |
State | Washington (WA) |
Post Code | 983717590 |
Phone Number | 2538413933 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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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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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.