Jason Clonnie Trusty in Charleston - Physician Assistant

Jason Clonnie Trusty - NPI 1467566463

Jason Clonnie Trusty is a Physician Assistant in Charleston, . Jason Clonnie Trusty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Clonnie Trusty is 1467566463. The last update date is 2010-05-18.

Jason Clonnie Trusty's current location address is 208 Maccorkle Ave Se, Charleston, . You can contact this provider via phone number 3043434300 and fax number 3043435476. The mailing address for Jason Clonnie Trusty is 208 Maccorkle Ave Se, Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Clonnie Trusty
Address 208 Maccorkle Ave Se, Charleston,
Phone Number 3043434300
Fax Number 3043435476
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1467566463
Provider Enumeration Date 2006-08-18
Last Updated Date 2010-05-18

Provider Mailing Address Detail

Address 208 Maccorkle Ave Se
City Charleston
State (WV)
Post Code 253141160
Phone Number 3043434300
Fax Number 3043435476

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1157
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jason Clonnie Trusty

What is the Jason Clonnie Trusty's unique identification number?

The Jason Clonnie Trusty has been assigned the NPI (National Provider Identifier) Number 1467566463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jason Clonnie Trusty?

The Jason Clonnie Trusty is physically situated at 208 Maccorkle Ave Se, in the city of Charleston, state of WV, with the postal code 253141160.

What is Jason Clonnie Trusty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jason Clonnie Trusty is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1467566463 to Jason Clonnie Trusty?

The Centers for Medicare & Medicaid Services originally issued the 1467566463 to Jason Clonnie Trusty on 2006-08-18.

As of what date were the details related to Jason Clonnie Trusty most recently updated or revised?

The information pertaining to Jason Clonnie Trusty, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-18.

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