Jennifer Dawn Ebersole in Dodge City - Physician Assistant
Jennifer Dawn Ebersole - NPI 1245283951
Jennifer Dawn Ebersole is a Physician Assistant in Dodge City, Kansas. Jennifer Dawn Ebersole practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Dawn Ebersole is 1245283951. The last update date is 2008-03-31.
Jennifer Dawn Ebersole's current location address is 202 W La Mesa Dr, Dodge City, Kansas. You can contact this provider via phone number 6202256821. The mailing address for Jennifer Dawn Ebersole is 202 W La Mesa Dr, Dodge City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Dawn Ebersole |
|---|---|
| Address | 202 W La Mesa Dr, Dodge City, Kansas |
| Phone Number | 6202256821 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1245283951 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 202 W La Mesa Dr |
|---|---|
| City | Dodge City |
| State | Kansas (KS) |
| Post Code | 678012838 |
| Phone Number | 6202256821 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00388 |
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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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What is the unique 10-digit identification code assigned to Jennifer Dawn Ebersole by the Centers for Medicare & Medicaid Services?
The Jennifer Dawn Ebersole has been issued the NPI (National Provider Identifier) 1245283951, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
When did the Jennifer Dawn Ebersole receive its 1245283951?
The Jennifer Dawn Ebersole was issued its 1245283951 on 2006-05-17, which is the date when the organization was assigned this unique identifier.
On what date did the Jennifer Dawn Ebersole receive its 1245283951 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Dawn Ebersole was assigned its 1245283951 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the Jennifer Dawn Ebersole's details last updated?
The information pertaining to the Jennifer Dawn Ebersole, including its address, specialty, and other details, was most recently updated on 2008-03-31.
As of what date were the details related to Jennifer Dawn Ebersole most recently updated or revised?
The information pertaining to Jennifer Dawn Ebersole, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-31.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY