<Unavail>

LBN: Fred Thysell Md
<Unavail> is an health care organization with primary practice located at 2807 W Washington Ave Ste 117 , Yakima WA 98903-1367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fred Thysell Md can be contacted via phone (509) 469-1903, or through Thysell, Frederick Jarl via phone (509) 823-3861.

Contact Information

Primary practice address
2807 W Washington Ave Ste 117 Yakima WA 98903-1367
Fax: (509) 469-1905
Website:
Authorized official contact:
Name: Thysell, Frederick Jarl Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255805628
LBN Legal business name Fred Thysell Md
DBA Doing business as <Unavail>
Authorized official Thysell, Frederick Jarl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255805628 NPPES
Washington MEDICAID 1006757

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