Charlene Olivia Justin in New Haven - Physician Assistant
Charlene Olivia Justin - NPI 1578759536
Charlene Olivia Justin is a Physician Assistant in New Haven, Connecticut. Charlene Olivia Justin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charlene Olivia Justin is 1578759536. The last update date is 2019-08-04.
Charlene Olivia Justin's current location address is 800 Howard Ave, New Haven, Connecticut. You can contact this provider via phone number 6507591426. The mailing address for Charlene Olivia Justin is 800 Howard Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Olivia Justin |
|---|---|
| Address | 800 Howard Ave, New Haven, Connecticut |
| Phone Number | 6507591426 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578759536 |
|---|---|
| Provider Enumeration Date | 2007-09-23 |
| Last Updated Date | 2019-08-04 |
Provider Mailing Address Detail
| Address | 800 Howard Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191369 |
| Phone Number | 6507591426 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 51298 |
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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 |
|---|---|---|---|
| ENROLLED | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charlene Olivia Justin by the Centers for Medicare & Medicaid Services?
The Charlene Olivia Justin has been assigned the NPI (National Provider Identifier) 1578759536 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 Charlene Olivia Justin is physically located?
The Charlene Olivia Justin is physically situated at the following address: 800 Howard Ave, New Haven, CT, 65191369.
What is Charlene Olivia Justin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charlene Olivia Justin's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Charlene Olivia Justin receive its 1578759536 assignment?
The Charlene Olivia Justin was assigned its 1578759536 on 2007-09-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Charlene Olivia Justin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charlene Olivia Justin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-04.
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