Ira Ted Webb in Princeton - Physician Assistant

Ira Ted Webb - NPI 1720021447

Ira Ted Webb is a Physician Assistant in Princeton, . Ira Ted Webb practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ira Ted Webb is 1720021447. The last update date is 2018-09-25.

Ira Ted Webb's current location address is 200 12th Street Ext, Princeton, . You can contact this provider via phone number 3044312869. The mailing address for Ira Ted Webb is 200 12th Street Ext, Princeton, . To know further, please read the information below!

Provider Profile Detail

Provider Name Ira Ted Webb
Address 200 12th Street Ext, Princeton,
Phone Number 3044312869
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1720021447
Provider Enumeration Date 2006-06-13
Last Updated Date 2018-09-25

Provider Mailing Address Detail

Address 200 12th Street Ext
City Princeton
State (WV)
Post Code 24740
Phone Number 3044312869
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 762
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00023341 WV RRGA
P00023341 WV MEDICARE RAILROAD
1920236 WV BLUE SHIELD

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FAQs about Ira Ted Webb

What is the Ira Ted Webb's unique identification number?

The Ira Ted Webb has been assigned the NPI (National Provider Identifier) Number 1720021447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Ira Ted Webb's facilities are geographically located?

The facilities of Ira Ted Webb are physically situated at the following location: 200 12Th Street Ext, Princeton, WV, 24740.

What is Ira Ted Webb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ira Ted Webb is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did Ira Ted Webb receive its 1720021447 assignment?

The Ira Ted Webb was assigned its 1720021447 on 2006-06-13, which is the date when this unique identifier was issued to the organization.

When was the information regarding Ira Ted Webb most recently updated?

The details pertaining to the Ira Ted Webb, including its address, specialty, and other relevant information, were last refreshed on 2018-09-25.

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