Theresa A Jovanovich in Federal Way - Surgical

Theresa A Jovanovich - NPI 1356490486

Theresa A Jovanovich is a Surgical in Federal Way, Washington. Theresa A Jovanovich practices all healthcare services and medical treatments related to Surgical. The NPI Number for Theresa A Jovanovich is 1356490486. The last update date is 2012-12-31.

Theresa A Jovanovich's current location address is 33501 1st Way S, Federal Way, Washington. You can contact this provider via phone number 2538382400 and fax number 2538741634. The mailing address for Theresa A Jovanovich is 33501 1st Way S, Federal Way, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa A Jovanovich
Address 33501 1st Way S, Federal Way, Washington
Phone Number 2538382400
Fax Number 2538741634
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1356490486
Provider Enumeration Date 2007-01-09
Last Updated Date 2012-12-31

Provider Mailing Address Detail

Address 33501 1st Way S
City Federal Way
State Washington (WA)
Post Code 980036208
Phone Number 2538382400
Fax Number 2538741634

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA10004066
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970030800 WA RAILROAD MC#
0335JO WA BLUE SHIELD #
8362543 WA --
39594 WA LABOR AND INDUSTRIES #
US7233432 WA AETNA SPECIALIST PIN

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FAQs about Theresa A Jovanovich

What is the unique identification code assigned to Theresa A Jovanovich by the Centers for Medicare & Medicaid Services?

The Theresa A Jovanovich has been issued the NPI (National Provider Identifier) 1356490486. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Theresa A Jovanovich is physically located?

The Theresa A Jovanovich is physically situated at the following address: 33501 1St Way S, Federal Way, WA, 980036208.

What is Theresa A Jovanovich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Theresa A Jovanovich is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date did the Theresa A Jovanovich receive its 1356490486 assignment from the Centers for Medicare & Medicaid Services?

The Theresa A Jovanovich was assigned its 1356490486 by the Centers for Medicare & Medicaid Services on 2007-01-09.

When was the information related to Theresa A Jovanovich most recently updated or refreshed?

The details pertaining to the Theresa A Jovanovich, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-31.

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