Glen Derrick Trammell in Homewood - Physician Assistant
Glen Derrick Trammell - NPI 1013130152
Glen Derrick Trammell is a Physician Assistant in Homewood, Illinois. Glen Derrick Trammell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glen Derrick Trammell is 1013130152. The last update date is 2021-04-30.
Glen Derrick Trammell's current location address is 3248 186th St, Homewood, Illinois. You can contact this provider via phone number 7738697488. The mailing address for Glen Derrick Trammell is 3248 186th St, Homewood, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glen Derrick Trammell |
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Address | 3248 186th St, Homewood, Illinois |
Phone Number | 7738697488 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1013130152 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2021-04-30 |
Provider Mailing Address Detail
Address | 3248 186th St |
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City | Homewood |
State | Illinois (IL) |
Post Code | 604302798 |
Phone Number | 7738697488 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 085-000875 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Glen Derrick Trammell by the Centers for Medicare & Medicaid Services?
The Glen Derrick Trammell has been assigned the NPI (National Provider Identifier) 1013130152. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glen Derrick Trammell?
The Glen Derrick Trammell is situated at 3248 186Th St, in the city of Homewood, state of IL, with the zip code 604302798.
What is the area of specialization for Glen Derrick Trammell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen Derrick Trammell is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Glen Derrick Trammell receive its 1013130152 assignment?
The Glen Derrick Trammell was assigned its 1013130152 on 2007-04-10, which is the date when this unique identifier was issued to the organization.
When was the information regarding Glen Derrick Trammell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glen Derrick Trammell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-30.
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