Jeremy Michael Raulie in Colorado Springs - Physician Assistant
Jeremy Michael Raulie - NPI 1538113105
Jeremy Michael Raulie is a Physician Assistant in Colorado Springs, Colorado. Jeremy Michael Raulie practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy Michael Raulie is 1538113105. The last update date is 2014-11-07.
Jeremy Michael Raulie's current location address is 2446 Research Pkwy, Colorado Springs, Colorado. You can contact this provider via phone number 7196231050 and fax number 7196231052. The mailing address for Jeremy Michael Raulie is 2446 Research Pkwy, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Michael Raulie |
|---|---|
| Address | 2446 Research Pkwy, Colorado Springs, Colorado |
| Phone Number | 7196231050 |
| Fax Number | 7196231052 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1538113105 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2014-11-07 |
Provider Mailing Address Detail
| Address | 2446 Research Pkwy |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809201087 |
| Phone Number | 7196231050 |
| Fax Number | 7196231052 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | CO1776 |
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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 |
|---|---|---|---|
| 46559043 | CO | -- |
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What is the unique identifier code issued to Jeremy Michael Raulie by the Centers for Medicare & Medicaid Services?
The Jeremy Michael Raulie has been assigned the NPI (National Provider Identifier) 1538113105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeremy Michael Raulie located?
The Jeremy Michael Raulie is located at 2446 Research Pkwy, Colorado Springs, CO 809201087.
What is the Jeremy Michael Raulie's specialty and taxonomy code?
The Jeremy Michael Raulie's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Jeremy Michael Raulie receive its 1538113105 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Michael Raulie was assigned its 1538113105 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeremy Michael Raulie's details last updated?
The information pertaining to the Jeremy Michael Raulie, including its address, specialty, and other details, was most recently updated on 2014-11-07.
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