Jeremy David Willes in Twin Falls - Physician Assistant
Jeremy David Willes - NPI 1356314843
Jeremy David Willes is a Physician Assistant in Twin Falls, Idaho. Jeremy David Willes practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy David Willes is 1356314843. The last update date is 2013-05-08.
Jeremy David Willes's current location address is 260 Falls Ave, Twin Falls, Idaho. You can contact this provider via phone number 2087367422 and fax number 2087368905. The mailing address for Jeremy David Willes is 260 Falls Ave, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy David Willes |
|---|---|
| Address | 260 Falls Ave, Twin Falls, Idaho |
| Phone Number | 2087367422 |
| Fax Number | 2087368905 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1356314843 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 260 Falls Ave |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833013370 |
| Phone Number | 2087367422 |
| Fax Number | 2087368905 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA638 |
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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 |
|---|---|---|---|
| 10161378 | ID | BLUE SHIELD | |
| 807683300 | ID | -- | |
| 807683301 | ID | -- | |
| PAE68 | ID | BLUE CROSS | |
| 10161377 | ID | BLUE SHIELD | |
| 100504125 | NV | -- | |
| PAE69 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Jeremy David Willes's unique identification number?
The Jeremy David Willes has been assigned the NPI (National Provider Identifier) Number 1356314843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jeremy David Willes located?
The Jeremy David Willes is located at 260 Falls Ave, Twin Falls, ID 833013370.
What is Jeremy David Willes's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremy David Willes is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Jeremy David Willes receive its 1356314843?
The Jeremy David Willes was issued its 1356314843 on 2006-02-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeremy David Willes most recently updated?
The details pertaining to the Jeremy David Willes, including its address, specialty, and other relevant information, were last refreshed on 2013-05-08.
NPI Number: 1215930425
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