Provider Demographics
NPI:1699799387
Name:FUCHS, JOHN W (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:FUCHS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 122ND STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-9611
Mailing Address - Country:US
Mailing Address - Phone:253-851-5431
Mailing Address - Fax:
Practice Address - Street 1:623 122ND STREET CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-9611
Practice Address - Country:US
Practice Address - Phone:253-851-5431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00000661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0204575OtherSTATE L&I
WA0204582OtherSTATE L&I
WA8940605OtherSTATE CRIME VICTIMS
WA0202832OtherSTATE L&I
WA0214109OtherSTATE L&I
WA8940603OtherSTATE CRIME VICTIMS
WA0223271OtherSTATE L&I
WA8945092OtherSTATE CRIME VICTIMS
WA8940604OtherSTATE CRIME VICTIMS
WA0204580OtherSTATE L&I
WA8412447Medicaid
WA8940318OtherSTATE CRIME VICTIMS
WA0204580OtherSTATE L&I
WA8412447Medicaid
WAG8857954Medicare PIN
WA8940603OtherSTATE CRIME VICTIMS
WA0204582OtherSTATE L&I
WAG8857952Medicare PIN
WAG8866111Medicare PIN