Provider Demographics
NPI:1497548200
Name:GLOBAL HEALTH DOC
Entity type:Organization
Organization Name:GLOBAL HEALTH DOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSAQUOI
Authorized Official - Suffix:
Authorized Official - Credentials:DRHSC, MHSC, PA-C
Authorized Official - Phone:254-548-1842
Mailing Address - Street 1:3716 LANYARD DR NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-1332
Mailing Address - Country:US
Mailing Address - Phone:254-548-1842
Mailing Address - Fax:
Practice Address - Street 1:3716 LANYARD DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-1332
Practice Address - Country:US
Practice Address - Phone:254-548-1842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty