Jodi L Chambers in Fort Wayne - Physician Assistant
Jodi L Chambers - NPI 1487646469
Jodi L Chambers is a Physician Assistant in Fort Wayne, Indiana. Jodi L Chambers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jodi L Chambers is 1487646469. The last update date is 2022-10-12.
Jodi L Chambers's current location address is 3946 Ice Way, Fort Wayne, Indiana. You can contact this provider via phone number 2602664007 and fax number 2602664008. The mailing address for Jodi L Chambers is 3946 Ice Way, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi L Chambers |
|---|---|
| Address | 3946 Ice Way, Fort Wayne, Indiana |
| Phone Number | 2602664007 |
| Fax Number | 2602664008 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1487646469 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2022-10-12 |
Provider Mailing Address Detail
| Address | 3946 Ice Way |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468051018 |
| Phone Number | 2602664007 |
| Fax Number | 2602664008 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000487A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970018667 | IN | RAIL ROAD MEDICARE | |
| 300006248 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jodi L Chambers by the Centers for Medicare & Medicaid Services?
The Jodi L Chambers has been issued the NPI (National Provider Identifier) 1487646469 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jodi L Chambers is geographically located?
The Jodi L Chambers is physically situated at the following location: 3946 Ice Way, Fort Wayne, IN, 468051018.
What is Jodi L Chambers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jodi L Chambers's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Jodi L Chambers receive its 1487646469 assignment from the Centers for Medicare & Medicaid Services?
The Jodi L Chambers was assigned its 1487646469 on 2005-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jodi L Chambers most recently updated or refreshed?
The details pertaining to the Jodi L Chambers, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-10-12.