Ty Martin Roseberry in Hesperia - Physician Assistant
Ty Martin Roseberry - NPI 1487604948
Ty Martin Roseberry is a Physician Assistant in Hesperia, California. Ty Martin Roseberry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ty Martin Roseberry is 1487604948. The last update date is 2021-11-29.
Ty Martin Roseberry's current location address is 14380 Main St, Hesperia, California. You can contact this provider via phone number 7609473220. The mailing address for Ty Martin Roseberry is 14380 Main St, Hesperia, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ty Martin Roseberry |
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Address | 14380 Main St, Hesperia, California |
Phone Number | 7609473220 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1487604948 |
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Provider Enumeration Date | 2006-05-12 |
Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
Address | 14380 Main St |
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City | Hesperia |
State | California (CA) |
Post Code | 923454613 |
Phone Number | 7609473220 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10000768A |
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 identification code issued to Ty Martin Roseberry by the Centers for Medicare & Medicaid Services?
The Ty Martin Roseberry has been assigned the NPI (National Provider Identifier) 1487604948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ty Martin Roseberry is physically located?
The Ty Martin Roseberry is physically situated at the following address: 14380 Main St, Hesperia, CA, 923454613.
What is Ty Martin Roseberry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ty Martin Roseberry is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did the Ty Martin Roseberry receive its 1487604948?
The Ty Martin Roseberry was issued its 1487604948 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Ty Martin Roseberry most recently updated or refreshed?
The details pertaining to the Ty Martin Roseberry, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-29.