Jay Raleigh Humphrey in Bridgeport - Physician Assistant
Jay Raleigh Humphrey - NPI 1497977235
Jay Raleigh Humphrey is a Physician Assistant in Bridgeport, Connecticut. Jay Raleigh Humphrey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jay Raleigh Humphrey is 1497977235. The last update date is 2016-01-20.
Jay Raleigh Humphrey's current location address is 226 Mill Hill Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2034530677 and fax number 2034587015. The mailing address for Jay Raleigh Humphrey is 226 Mill Hill Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Raleigh Humphrey |
|---|---|
| Address | 226 Mill Hill Ave, Bridgeport, Connecticut |
| Phone Number | 2034530677 |
| Fax Number | 2034587015 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1497977235 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2016-01-20 |
Provider Mailing Address Detail
| Address | 226 Mill Hill Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66102826 |
| Phone Number | 2034530677 |
| Fax Number | 2034587015 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2111 |
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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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What is the unique 10-digit identifier code assigned to Jay Raleigh Humphrey by the Centers for Medicare & Medicaid Services?
The Jay Raleigh Humphrey has been issued the NPI (National Provider Identifier) 1497977235 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jay Raleigh Humphrey?
The Jay Raleigh Humphrey is situated at 226 Mill Hill Ave, in the city of Bridgeport, state of CT, with the zip code 66102826.
What is Jay Raleigh Humphrey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jay Raleigh Humphrey is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497977235 to Jay Raleigh Humphrey?
The Jay Raleigh Humphrey received its 1497977235 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information pertaining to Jay Raleigh Humphrey most recently updated or revised?
The details related to Jay Raleigh Humphrey, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-20.