Jacob Mathew in Bremerton - Student In An Organized Health Care Education/training Program

Jacob Mathew - NPI 1710141346

Jacob Mathew is a Student In An Organized Health Care Education/training Program in Bremerton, Washington. Jacob Mathew practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Jacob Mathew is 1710141346. The last update date is 2012-07-31.

Jacob Mathew's current location address is 2520 Cherry Ave, Bremerton, Washington. You can contact this provider via phone number 3604796154 and fax number 3604795728. The mailing address for Jacob Mathew is 2520 Cherry Ave, Bremerton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Mathew
Address 2520 Cherry Ave, Bremerton, Washington
Phone Number 3604796154
Fax Number 3604795728
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710141346
Provider Enumeration Date 2008-07-14
Last Updated Date 2012-07-31

Provider Mailing Address Detail

Address 2520 Cherry Ave
City Bremerton
State Washington (WA)
Post Code 983104229
Phone Number 3604796154
Fax Number 3604795728

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1333300 FL --

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FAQs about Jacob Mathew

What is the Jacob Mathew's unique identification number?

The Jacob Mathew has been assigned the NPI (National Provider Identifier) Number 1710141346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jacob Mathew's physical address?

The Jacob Mathew is physically located at 2520 Cherry Ave, in the city of Bremerton, WA, with the postal code 983104229.

What is Jacob Mathew's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jacob Mathew's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710141346 to Jacob Mathew?

The Centers for Medicare & Medicaid Services assigned the 1710141346 to Jacob Mathew on 2008-07-14.

When was the information related to Jacob Mathew most recently updated or refreshed?

The details pertaining to the Jacob Mathew, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-31.

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