DR. MD Jack Mark Fishaut, NPI 1891779195
Pediatrics Physician in Friday Harbor, WA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1891779195 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Jack Mark Fishaut |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 235 Blair Ave, Friday Harbor, WA, US |
| Provider Mailing Address | Po Box 796, Friday Harbor, WA, US, 982500796 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatrics Physician |
| Classification | |
| Group | |
| License No. | MD00040965 |
| License State | WA |
| Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 361929500 | PARK NATL L & L | 01 | |
| AF9612551 | DEA | 01 | |
| 532300004 | GROUP HEALTH | 01 | |
| 4952FI | REGENCE BLUE SHIELD | 01 | |
| 912109329 | UNIFORM | 01 | |
| 912109329 | CHPW | 01 | |
| 912109329 | PREMERA BLUE CROSS | 01 | |
| LABOR AND INDUSTRIES | 0182789 | 01 | |
| 8387367 | DSHS MEDICAID | 01 | |
| 912109329 | FIRST CHOICE | 01 | |
| 8930937 | CRIME VICTIMS | 01 |
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