Jeromy Glenn Wilson in Westminster - Physician Assistant

Jeromy Glenn Wilson - NPI 1033394150

Jeromy Glenn Wilson is a Physician Assistant in Westminster, Colorado. Jeromy Glenn Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeromy Glenn Wilson is 1033394150. The last update date is 2023-11-16.

Jeromy Glenn Wilson's current location address is 3520 W 92nd Ave, Westminster, Colorado. You can contact this provider via phone number 3034296600 and fax number 3034296601. The mailing address for Jeromy Glenn Wilson is 3520 W 92nd Ave, Westminster, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeromy Glenn Wilson
Address 3520 W 92nd Ave, Westminster, Colorado
Phone Number 3034296600
Fax Number 3034296601
Sole Proprietor Y
Credentials P.A.-C

NPI Number Detail

NPI Number 1033394150
Provider Enumeration Date 2008-01-08
Last Updated Date 2023-11-16

Provider Mailing Address Detail

Address 3520 W 92nd Ave
City Westminster
State Colorado (CO)
Post Code 800313303
Phone Number 3034296600
Fax Number 3034296601

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA-2560
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
1080625 NCCPA

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FAQs about Jeromy Glenn Wilson

What is the unique 10-digit identification code issued to Jeromy Glenn Wilson by the Centers for Medicare & Medicaid Services?

The Jeromy Glenn Wilson has been assigned the NPI (National Provider Identifier) 1033394150 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 physical location address of Jeromy Glenn Wilson?

The Jeromy Glenn Wilson is physically situated at 3520 W 92Nd Ave, in the city of Westminster, state of CO, with the postal code 800313303.

What is Jeromy Glenn Wilson's area of expertise and its corresponding taxonomy classification?

The Jeromy Glenn Wilson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jeromy Glenn Wilson receive the assignment of its 1033394150 from the Centers for Medicare & Medicaid Services?

The Jeromy Glenn Wilson was issued its 1033394150 by the Centers for Medicare & Medicaid Services on 2008-01-08.

As of what date were the Jeromy Glenn Wilson's details last updated?

The information pertaining to the Jeromy Glenn Wilson, including its address, specialty, and other details, was most recently updated on 2023-11-16.

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