Nicole Marie Helsom in Fort Wayne - Physician Assistant

Nicole Marie Helsom - NPI 1790883502

Nicole Marie Helsom is a Physician Assistant in Fort Wayne, Indiana. Nicole Marie Helsom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Marie Helsom is 1790883502. The last update date is 2007-11-06.

Nicole Marie Helsom's current location address is 5750 Falls Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604368000 and fax number 2604325587. The mailing address for Nicole Marie Helsom is 5750 Falls Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Marie Helsom
Address 5750 Falls Dr, Fort Wayne, Indiana
Phone Number 2604368000
Fax Number 2604325587
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1790883502
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 5750 Falls Dr
City Fort Wayne
State Indiana (IN)
Post Code 468047147
Phone Number 2604368000
Fax Number 2604325587

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10000849A
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
386480 BCBS
P00311647 MEDICARE RAILROAD

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FAQs about Nicole Marie Helsom

What is the unique provider identifier assigned to Nicole Marie Helsom?

The Nicole Marie Helsom has been issued the NPI (National Provider Identifier) 1790883502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Nicole Marie Helsom?

The Nicole Marie Helsom is situated at 5750 Falls Dr, in the city of Fort Wayne, state of IN, with the zip code 468047147.

Could you please share the complete physical address where Nicole Marie Helsom is geographically located?

The Nicole Marie Helsom is physically situated at the following location: 5750 Falls Dr, Fort Wayne, IN, 468047147.

When did Nicole Marie Helsom receive its 1790883502 assignment?

The Nicole Marie Helsom was assigned its 1790883502 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Nicole Marie Helsom last refreshed?

The information related to the Nicole Marie Helsom, including its address, specialty, and other relevant details, was last updated on 2007-11-06.

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