| Emmal Felipe Enterprises Llc | |
|
1340 M St Se Suite A Auburn WA 98002-6755 | |
| (253) 735-2777 | |
| (253) 735-4153 |
| Full Name | Emmal Felipe Enterprises Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1340 M St Se, Auburn, Washington |
| Authorized Official Name and Position | Stephanie Emmal (OWNER) |
| Authorized Official Contact | 2537352777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmal Felipe Enterprises Llc 1340 M St Se Suite A Auburn WA 98002-6755 Ph: (253) 735-2777 | Emmal Felipe Enterprises Llc 1340 M St Se Suite A Auburn WA 98002-6755 Ph: (253) 735-2777 |
| NPI Number | 1063427631 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 6507888773 |
|---|---|
| Medicare Enrollment ID | O20060103000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063427631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP30007144 (Washington) | Primary |
| Provider Name | Joel D Felipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366552838 PECOS PAC ID: 7113911066 Enrollment ID: I20040708001340 |
| Provider Name | Stephanie A Emmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841224441 PECOS PAC ID: 6507888781 Enrollment ID: I20060103000126 |
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