PETE A. JACQUES PA-C NPI 1104890656

NPI Information

NPI: 1104890656
Provider Name: PETE A. JACQUES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2202 S CEDAR ST
STE. #310
TACOMA, WA
ZIP 98405
Phone: (253) 272-5127
Get Directions

Pete A. Jacques, PA-C is a medical physician assistant in Tacoma, WA. Pete A. Jacques, PA-C NPI is 1104890656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2202 S CEDAR ST
STE. #310
TACOMA, WA
ZIP 98405-318
Phone: (253) 272-5127
Fax: (253) 404-0506

The enumeration date for this NPI number is 2/13/2006 and was last updated on 6/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10001731	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AB32889	MEDICARE PIN	WASHINGTON
2	AB32890	MEDICARE PIN	WASHINGTON
3	PA10001731	OTHER	WASHINGTON	WA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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