Justin Robert Thibeault in Vancouver - Surgical

Justin Robert Thibeault - NPI 1376579631

Justin Robert Thibeault is a Surgical in Vancouver, Washington. Justin Robert Thibeault practices all healthcare services and medical treatments related to Surgical. The NPI Number for Justin Robert Thibeault is 1376579631. The last update date is 2016-07-06.

Justin Robert Thibeault's current location address is 200 Ne Mother Joseph Pl, Vancouver, Washington. You can contact this provider via phone number 5032248399 and fax number 5032245661. The mailing address for Justin Robert Thibeault is 200 Ne Mother Joseph Pl, Vancouver, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin Robert Thibeault
Address 200 Ne Mother Joseph Pl, Vancouver, Washington
Phone Number 5032248399
Fax Number 5032245661
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1376579631
Provider Enumeration Date 2006-06-25
Last Updated Date 2016-07-06

Provider Mailing Address Detail

Address 200 Ne Mother Joseph Pl
City Vancouver
State Washington (WA)
Post Code 986643295
Phone Number 5032248399
Fax Number 5032245661

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA153476
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Justin Robert Thibeault

What is the unique 10-digit identifier code issued to Justin Robert Thibeault by the Centers for Medicare & Medicaid Services?

The Justin Robert Thibeault has been assigned the NPI (National Provider Identifier) 1376579631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Justin Robert Thibeault?

The Justin Robert Thibeault is physically situated at 200 Ne Mother Joseph Pl, in the city of Vancouver, state of WA, with the postal code 986643295.

What is Justin Robert Thibeault's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Justin Robert Thibeault's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Justin Robert Thibeault receive its 1376579631 assignment from the Centers for Medicare & Medicaid Services?

The Justin Robert Thibeault was assigned its 1376579631 by the Centers for Medicare & Medicaid Services on 2006-06-25.

As of what date was the information regarding Justin Robert Thibeault, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Justin Robert Thibeault, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-06.

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