Juriaan Martijn Van Der Heijden in Athens - Physician Assistant
Juriaan Martijn Van Der Heijden - NPI 1013909159
Juriaan Martijn Van Der Heijden is a Physician Assistant in Athens, Georgia. Juriaan Martijn Van Der Heijden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Juriaan Martijn Van Der Heijden is 1013909159. The last update date is 2021-06-30.
Juriaan Martijn Van Der Heijden's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for Juriaan Martijn Van Der Heijden is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juriaan Martijn Van Der Heijden |
|---|---|
| Address | 1765 Old West Broad St Bldg 2-200, Athens, Georgia |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1013909159 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
| Address | 1765 Old West Broad St Bldg 2-200 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306062887 |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4485 |
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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 |
|---|---|---|---|
| 12746623 | CAQH NUMBER |
Post Comment/ Review Below
What is the Juriaan Martijn Van Der Heijden's unique identification number?
The Juriaan Martijn Van Der Heijden has been assigned the NPI (National Provider Identifier) Number 1013909159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Juriaan Martijn Van Der Heijden is physically located?
The Juriaan Martijn Van Der Heijden is physically situated at the following address: 1765 Old West Broad St Bldg 2-200, Athens, GA, 306062887.
What is Juriaan Martijn Van Der Heijden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Juriaan Martijn Van Der Heijden is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date was the 1013909159 assigned to Juriaan Martijn Van Der Heijden?
The Juriaan Martijn Van Der Heijden was issued its 1013909159 on 2005-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Juriaan Martijn Van Der Heijden most recently updated or revised?
The information pertaining to Juriaan Martijn Van Der Heijden, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-30.