Ricky Lynn White in Martinsburg - Physician Assistant
Ricky Lynn White - NPI 1073592564
Ricky Lynn White is a Physician Assistant in Martinsburg, . Ricky Lynn White practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ricky Lynn White is 1073592564. The last update date is 2007-07-16.
Ricky Lynn White's current location address is 510 Butler Ave, Martinsburg, . You can contact this provider via phone number 3042630811. The mailing address for Ricky Lynn White is 510 Butler Ave, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Lynn White |
|---|---|
| Address | 510 Butler Ave, Martinsburg, |
| Phone Number | 3042630811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1073592564 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 510 Butler Ave |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 254059990 |
| Phone Number | 3042630811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0110-001492 |
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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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What is the unique 10-digit identifier code assigned to Ricky Lynn White by the Centers for Medicare & Medicaid Services?
The Ricky Lynn White has been issued the NPI (National Provider Identifier) 1073592564 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Ricky Lynn White located?
The Ricky Lynn White is located at 510 Butler Ave, Martinsburg, WV 254059990.
What is Ricky Lynn White's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ricky Lynn White is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Ricky Lynn White receive the assignment of its 1073592564 from the Centers for Medicare & Medicaid Services?
The Ricky Lynn White was issued its 1073592564 by the Centers for Medicare & Medicaid Services on 2006-01-12.
When was the Ricky Lynn White's information last updated?
The Ricky Lynn White's information was last updated on 2007-07-16.