Bethany Jane Lubenow in Jasper - Physician Assistant
Bethany Jane Lubenow - NPI 1568649234
Bethany Jane Lubenow is a Physician Assistant in Jasper, Indiana. Bethany Jane Lubenow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bethany Jane Lubenow is 1568649234. The last update date is 2019-01-30.
Bethany Jane Lubenow's current location address is 613 Dorbett St, Jasper, Indiana. You can contact this provider via phone number 8124812229 and fax number 8124823993. The mailing address for Bethany Jane Lubenow is 613 Dorbett St, Jasper, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Jane Lubenow |
|---|---|
| Address | 613 Dorbett St, Jasper, Indiana |
| Phone Number | 8124812229 |
| Fax Number | 8124823993 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1568649234 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2019-01-30 |
Provider Mailing Address Detail
| Address | 613 Dorbett St |
|---|---|
| City | Jasper |
| State | Indiana (IN) |
| Post Code | 475462615 |
| Phone Number | 8124812229 |
| Fax Number | 8124823993 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85.003092 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300015512 | IN | -- | |
| 7100561200 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bethany Jane Lubenow by the Centers for Medicare & Medicaid Services?
The Bethany Jane Lubenow has been issued the NPI (National Provider Identifier) 1568649234. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bethany Jane Lubenow's physical address?
The Bethany Jane Lubenow is physically located at 613 Dorbett St, in the city of Jasper, IN, with the postal code 475462615.
What is Bethany Jane Lubenow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bethany Jane Lubenow's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Bethany Jane Lubenow receive its 1568649234 assignment?
The Bethany Jane Lubenow was assigned its 1568649234 on 2008-01-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bethany Jane Lubenow last refreshed?
The information related to the Bethany Jane Lubenow, including its address, specialty, and other relevant details, was last updated on 2019-01-30.
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