Jennifer Oddleifson in Waldoboro - Physician Assistant
Jennifer Oddleifson - NPI 1013918036
Jennifer Oddleifson is a Physician Assistant in Waldoboro, Maine. Jennifer Oddleifson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Oddleifson is 1013918036. The last update date is 2014-02-20.
Jennifer Oddleifson's current location address is 592 West Main St.-, Waldoboro, Maine. You can contact this provider via phone number 2078326394 and fax number 2078324392. The mailing address for Jennifer Oddleifson is 592 West Main St.-, Waldoboro, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Oddleifson |
|---|---|
| Address | 592 West Main St.-, Waldoboro, Maine |
| Phone Number | 2078326394 |
| Fax Number | 2078324392 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1013918036 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 592 West Main St.- |
|---|---|
| City | Waldoboro |
| State | Maine (ME) |
| Post Code | 45726030 |
| Phone Number | 2078326394 |
| Fax Number | 2078324392 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA - 289 |
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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 |
|---|---|---|---|
| 290260099 | ME | -- |
Post Comment/ Review Below
What is the Jennifer Oddleifson's unique identification number?
The Jennifer Oddleifson has been assigned the NPI (National Provider Identifier) Number 1013918036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jennifer Oddleifson's physical address?
The Jennifer Oddleifson is physically located at 592 West Main St.-, in the city of Waldoboro, ME, with the postal code 45726030.
What is the Jennifer Oddleifson's specialty and taxonomy code?
The Jennifer Oddleifson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013918036 to Jennifer Oddleifson?
The Centers for Medicare & Medicaid Services originally issued the 1013918036 to Jennifer Oddleifson on 2005-08-02.
When was the Jennifer Oddleifson's information last updated?
The Jennifer Oddleifson's information was last updated on 2014-02-20.