Judith A Homburg (NPI# 1942314281, PAC ID# 3779583133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1942314281 |
PAC ID by PECOS | 3779583133 |
Professional Enrollment ID | I20070109000103 |
Full Name | Judith A Homburg |
Address |
3349 C Rockcut Rd Orient WA 99160 |
Phone Number | 5096848665 |
Gender | F |
Graduation Year | 1993 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3349 C Rockcut Rd, Orient, WA 99160 | 5096848665 |
Street Address |
3349 C ROCKCUT RD |
City | ORIENT |
State | WA |
Zip | 99160 |
City | ORIENT |
Zip Code | 99160 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | ORIENT + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.