Jill Renee Sobczyk in Council Bluffs - Physician Assistant
Jill Renee Sobczyk - NPI 1487783270
Jill Renee Sobczyk is a Physician Assistant in Council Bluffs, Iowa. Jill Renee Sobczyk practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Renee Sobczyk is 1487783270. The last update date is 2023-05-04.
Jill Renee Sobczyk's current location address is 808 E Pierce St, Council Bluffs, Iowa. You can contact this provider via phone number 7123964340 and fax number 7123964180. The mailing address for Jill Renee Sobczyk is 808 E Pierce St, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Renee Sobczyk |
|---|---|
| Address | 808 E Pierce St, Council Bluffs, Iowa |
| Phone Number | 7123964340 |
| Fax Number | 7123964180 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1487783270 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2023-05-04 |
Provider Mailing Address Detail
| Address | 808 E Pierce St |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515034601 |
| Phone Number | 7123964340 |
| Fax Number | 7123964180 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 51011042 | IA | STATE CONTROLLED SUBSTANC | |
| 1791 | IA | LICENSE NUMBER | |
| 1053300020 | IA | GROUP NPI NUMBER |
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What is the unique provider identifier assigned to Jill Renee Sobczyk?
The Jill Renee Sobczyk has been issued the NPI (National Provider Identifier) 1487783270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jill Renee Sobczyk located?
The Jill Renee Sobczyk is located at 808 E Pierce St, Council Bluffs, IA 515034601.
What is Jill Renee Sobczyk's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill Renee Sobczyk's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Jill Renee Sobczyk receive its 1487783270 assignment from the Centers for Medicare & Medicaid Services?
The Jill Renee Sobczyk was assigned its 1487783270 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information regarding Jill Renee Sobczyk most recently updated?
The details pertaining to the Jill Renee Sobczyk, including its address, specialty, and other relevant information, were last refreshed on 2023-05-04.
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