Dodie Lane Martin in La Crosse - Physician Assistant

Dodie Lane Martin - NPI 1215116876

Dodie Lane Martin is a Physician Assistant in La Crosse, Kansas. Dodie Lane Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dodie Lane Martin is 1215116876. The last update date is 2019-12-18.

Dodie Lane Martin's current location address is Po Box 520, La Crosse, Kansas. You can contact this provider via phone number 7852222564 and fax number 7852222868. The mailing address for Dodie Lane Martin is Po Box 520, La Crosse, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dodie Lane Martin
Address Po Box 520, La Crosse, Kansas
Phone Number 7852222564
Fax Number 7852222868
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1215116876
Provider Enumeration Date 2007-10-31
Last Updated Date 2019-12-18

Provider Mailing Address Detail

Address Po Box 520
City La Crosse
State Kansas (KS)
Post Code 675480520
Phone Number 7852222564
Fax Number 7852222868

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 15-01190
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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FAQs about Dodie Lane Martin

What is the unique identifier code issued to Dodie Lane Martin by the Centers for Medicare & Medicaid Services (CMS)?

The Dodie Lane Martin has been assigned the NPI (National Provider Identifier) 1215116876. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Dodie Lane Martin is physically located?

The Dodie Lane Martin is physically situated at the following address: Po Box 520, La Crosse, KS, 675480520.

What is Dodie Lane Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dodie Lane Martin is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Dodie Lane Martin receive its 1215116876 assignment from the Centers for Medicare & Medicaid Services?

The Dodie Lane Martin was assigned its 1215116876 by the Centers for Medicare & Medicaid Services on 2007-10-31.

When was the information regarding Dodie Lane Martin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Dodie Lane Martin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-18.

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