Shawn Erik Tedford in Bremerton - Physician Assistant
Shawn Erik Tedford - NPI 1063449072
Shawn Erik Tedford is a Physician Assistant in Bremerton, Washington. Shawn Erik Tedford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shawn Erik Tedford is 1063449072. The last update date is 2023-03-07.
Shawn Erik Tedford's current location address is 1225 Campbell Way Ste 201, Bremerton, Washington. You can contact this provider via phone number 3603771355. The mailing address for Shawn Erik Tedford is 1225 Campbell Way Ste 201, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Erik Tedford |
|---|---|
| Address | 1225 Campbell Way Ste 201, Bremerton, Washington |
| Phone Number | 3603771355 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063449072 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1225 Campbell Way Ste 201 |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 983103323 |
| Phone Number | 3603771355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA2007-0004 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205198 | WA | LABOR & INDUSTRIES | |
| 1001498 | WA | -- | |
| 8918TE | REGENCE BLUESHIELD | ||
| 8942304 | WA | CRIME VICTIMS COMP | |
| P00330803 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shawn Erik Tedford?
The Shawn Erik Tedford has been issued the NPI (National Provider Identifier) 1063449072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shawn Erik Tedford's facilities are geographically located?
The facilities of Shawn Erik Tedford are physically situated at the following location: 1225 Campbell Way Ste 201, Bremerton, WA, 983103323.
What is Shawn Erik Tedford's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shawn Erik Tedford is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did Shawn Erik Tedford receive its 1063449072 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Erik Tedford was assigned its 1063449072 on 2006-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shawn Erik Tedford most recently updated or refreshed?
The details pertaining to the Shawn Erik Tedford, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.