Jason William Whaley in Fort Collins - Physician Assistant

Jason William Whaley - NPI 1619091451

Jason William Whaley is a Physician Assistant in Fort Collins, Colorado. Jason William Whaley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason William Whaley is 1619091451. The last update date is 2020-02-19.

Jason William Whaley's current location address is 1024 S Lemay Ave, Fort Collins, Colorado. You can contact this provider via phone number 9704957000 and fax number 3033067753. The mailing address for Jason William Whaley is 1024 S Lemay Ave, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason William Whaley
Address 1024 S Lemay Ave, Fort Collins, Colorado
Phone Number 9704957000
Fax Number 3033067753
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1619091451
Provider Enumeration Date 2007-03-19
Last Updated Date 2020-02-19

Provider Mailing Address Detail

Address 1024 S Lemay Ave
City Fort Collins
State Colorado (CO)
Post Code 805243929
Phone Number 9704957000
Fax Number 3033067753

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 20331
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
46407871 CO --

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FAQs about Jason William Whaley

What is the unique identification code assigned to Jason William Whaley by the Centers for Medicare & Medicaid Services?

The Jason William Whaley has been issued the NPI (National Provider Identifier) 1619091451. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jason William Whaley is located?

The Jason William Whaley is situated at the following address: 1024 S Lemay Ave, Fort Collins, CO, 805243929.

What is the Jason William Whaley's specialty and taxonomy code?

The Jason William Whaley's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When did Jason William Whaley receive its 1619091451 assignment?

The Jason William Whaley was assigned its 1619091451 on 2007-03-19, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jason William Whaley most recently updated or revised?

The details related to Jason William Whaley, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-19.

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