Elizabeth Jane Hendricks in Fort Wayne - Physician Assistant
Elizabeth Jane Hendricks - NPI 1659314524
Elizabeth Jane Hendricks is a Physician Assistant in Fort Wayne, Indiana. Elizabeth Jane Hendricks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth Jane Hendricks is 1659314524. The last update date is 2011-03-15.
Elizabeth Jane Hendricks's current location address is 3717 Maplecrest Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604867334 and fax number 2604866447. The mailing address for Elizabeth Jane Hendricks is 3717 Maplecrest Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Jane Hendricks |
|---|---|
| Address | 3717 Maplecrest Rd, Fort Wayne, Indiana |
| Phone Number | 2604867334 |
| Fax Number | 2604866447 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1659314524 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2011-03-15 |
Provider Mailing Address Detail
| Address | 3717 Maplecrest Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468158424 |
| Phone Number | 2604867334 |
| Fax Number | 2604866447 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000483A |
|
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 10-digit identification code assigned to Elizabeth Jane Hendricks by the Centers for Medicare & Medicaid Services?
The Elizabeth Jane Hendricks has been issued the NPI (National Provider Identifier) 1659314524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Elizabeth Jane Hendricks located?
The Elizabeth Jane Hendricks is located at 3717 Maplecrest Rd, Fort Wayne, IN 468158424.
What is the Elizabeth Jane Hendricks's specialty and taxonomy code?
The Elizabeth Jane Hendricks's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659314524 to Elizabeth Jane Hendricks?
The Centers for Medicare & Medicaid Services originally issued the 1659314524 to Elizabeth Jane Hendricks on 2006-06-14.
As of what date were the Elizabeth Jane Hendricks's details last updated?
The information pertaining to the Elizabeth Jane Hendricks, including its address, specialty, and other details, was most recently updated on 2011-03-15.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT