Brandon Chase Wampler in Chicago - Physician Assistant
Brandon Chase Wampler - NPI 1154303675
Brandon Chase Wampler is a Physician Assistant in Chicago, Illinois. Brandon Chase Wampler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brandon Chase Wampler is 1154303675. The last update date is 2020-10-29.
Brandon Chase Wampler's current location address is Po Box 776351, Chicago, Illinois. You can contact this provider via phone number 5025889490 and fax number 5022725116. The mailing address for Brandon Chase Wampler is Po Box 776351, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Chase Wampler |
|---|---|
| Address | Po Box 776351, Chicago, Illinois |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154303675 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2020-10-29 |
Provider Mailing Address Detail
| Address | Po Box 776351 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606776351 |
| Phone Number | 5025889490 |
| Fax Number | 5022725116 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1975 |
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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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Post Comment/ Review Below
Could you please share the complete physical address where Brandon Chase Wampler is geographically located?
The Brandon Chase Wampler is physically situated at the following location: Po Box 776351, Chicago, IL, 606776351.
What is Brandon Chase Wampler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandon Chase Wampler is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Brandon Chase Wampler receive its 1154303675 assignment?
The Brandon Chase Wampler was assigned its 1154303675 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154303675 to Brandon Chase Wampler?
The Centers for Medicare & Medicaid Services originally issued the 1154303675 to Brandon Chase Wampler on 2005-11-18.
As of what date were the details pertaining to Brandon Chase Wampler last refreshed?
The information related to the Brandon Chase Wampler, including its address, specialty, and other relevant details, was last updated on 2020-10-29.