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 |
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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 |
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Provider Enumeration Date | 2006-06-25 |
Last Updated Date | 2016-07-06 |
Provider Mailing Address Detail
Address | 200 Ne Mother Joseph Pl |
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City | Vancouver |
State | Washington (WA) |
Post Code | 986643295 |
Phone Number | 5032248399 |
Fax Number | 5032245661 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA153476 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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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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