Michael Jeffery Dellapenna in Tuscaloosa - Physician Assistant
Michael Jeffery Dellapenna - NPI 1962467290
Michael Jeffery Dellapenna is a Physician Assistant in Tuscaloosa, Alabama. Michael Jeffery Dellapenna practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Jeffery Dellapenna is 1962467290. The last update date is 2009-02-12.
Michael Jeffery Dellapenna's current location address is 100 Rice Mine Road Loop, Tuscaloosa, Alabama. You can contact this provider via phone number 2057521800 and fax number 2057521891. The mailing address for Michael Jeffery Dellapenna is 100 Rice Mine Road Loop, Tuscaloosa, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Jeffery Dellapenna |
|---|---|
| Address | 100 Rice Mine Road Loop, Tuscaloosa, Alabama |
| Phone Number | 2057521800 |
| Fax Number | 2057521891 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1962467290 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2009-02-12 |
Provider Mailing Address Detail
| Address | 100 Rice Mine Road Loop |
|---|---|
| City | Tuscaloosa |
| State | Alabama (AL) |
| Post Code | 354062419 |
| Phone Number | 2057521800 |
| Fax Number | 2057521891 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA009 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529932889 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Jeffery Dellapenna by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Jeffery Dellapenna has been assigned the NPI (National Provider Identifier) 1962467290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michael Jeffery Dellapenna's physical address?
The Michael Jeffery Dellapenna is physically located at 100 Rice Mine Road Loop, in the city of Tuscaloosa, AL, with the postal code 354062419.
What is the Michael Jeffery Dellapenna's specialty and taxonomy code?
The Michael Jeffery Dellapenna's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Michael Jeffery Dellapenna receive its 1962467290 assignment from the Centers for Medicare & Medicaid Services?
The Michael Jeffery Dellapenna was assigned its 1962467290 on 2006-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael Jeffery Dellapenna most recently updated?
The details pertaining to the Michael Jeffery Dellapenna, including its address, specialty, and other relevant information, were last refreshed on 2009-02-12.
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