Michael J Skroch in Edmonds - Physician Assistant

Michael J Skroch - NPI 1235299678

Michael J Skroch is a Physician Assistant in Edmonds, Washington. Michael J Skroch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael J Skroch is 1235299678. The last update date is 2008-06-03.

Michael J Skroch's current location address is 21601 76th Avenue West, Edmonds, Washington. You can contact this provider via phone number 4256404000 and fax number 4256404010. The mailing address for Michael J Skroch is 21601 76th Avenue West, Edmonds, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Skroch
Address 21601 76th Avenue West, Edmonds, Washington
Phone Number 4256404000
Fax Number 4256404010
Sole Proprietor Y
Credentials PA C

NPI Number Detail

NPI Number 1235299678
Provider Enumeration Date 2006-12-08
Last Updated Date 2008-06-03

Provider Mailing Address Detail

Address 21601 76th Avenue West
City Edmonds
State Washington (WA)
Post Code 980267507
Phone Number 4256404000
Fax Number 4256404010

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10003431
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
143598 WA LABOR AND INDUSTRIES
8318693 WA --
143756 WA LIWA
0562SK WA BSWA

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FAQs about Michael J Skroch

What is the unique identification code assigned to Michael J Skroch by the Centers for Medicare & Medicaid Services?

The Michael J Skroch has been issued the NPI (National Provider Identifier) 1235299678. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael J Skroch?

The Michael J Skroch is situated at 21601 76Th Avenue West, in the city of Edmonds, state of WA, with the zip code 980267507.

What is Michael J Skroch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael J Skroch is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235299678 to Michael J Skroch?

The Centers for Medicare & Medicaid Services originally issued the 1235299678 to Michael J Skroch on 2006-12-08.

As of what date were the details pertaining to Michael J Skroch last refreshed?

The information related to the Michael J Skroch, including its address, specialty, and other relevant details, was last updated on 2008-06-03.

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