Jeff Nicoletti in Biddeford - Physician Assistant
Jeff Nicoletti - NPI 1861432668
Jeff Nicoletti is a Physician Assistant in Biddeford, Maine. Jeff Nicoletti practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeff Nicoletti is 1861432668. The last update date is 2009-11-11.
Jeff Nicoletti's current location address is 10 Wellspring Road, Biddeford, Maine. You can contact this provider via phone number 2072831126. The mailing address for Jeff Nicoletti is 10 Wellspring Road, Biddeford, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff Nicoletti |
|---|---|
| Address | 10 Wellspring Road, Biddeford, Maine |
| Phone Number | 2072831126 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1861432668 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2009-11-11 |
Provider Mailing Address Detail
| Address | 10 Wellspring Road |
|---|---|
| City | Biddeford |
| State | Maine (ME) |
| Post Code | 4005 |
| Phone Number | 2072831126 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-885 |
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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 |
|---|---|---|---|
| 61436 | ME | ANTHEM |
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What is the unique 10-digit identifier code assigned to Jeff Nicoletti by the Centers for Medicare & Medicaid Services?
The Jeff Nicoletti has been issued the NPI (National Provider Identifier) 1861432668 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeff Nicoletti?
The Jeff Nicoletti is physically situated at 10 Wellspring Road, in the city of Biddeford, state of ME, with the postal code 4005.
What is Jeff Nicoletti's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeff Nicoletti's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Jeff Nicoletti receive its 1861432668 assignment from the Centers for Medicare & Medicaid Services?
The Jeff Nicoletti was assigned its 1861432668 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jeff Nicoletti most recently updated or refreshed?
The details pertaining to the Jeff Nicoletti, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-11-11.
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