Theodore J Pettengill in Sherman - Physician Assistant
Theodore J Pettengill - NPI 1033187596
Theodore J Pettengill is a Physician Assistant in Sherman, Maine. Theodore J Pettengill practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theodore J Pettengill is 1033187596. The last update date is 2013-05-21.
Theodore J Pettengill's current location address is 226 Main Street, Sherman, Maine. You can contact this provider via phone number 2073654335 and fax number 2073654336. The mailing address for Theodore J Pettengill is 226 Main Street, Sherman, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore J Pettengill |
|---|---|
| Address | 226 Main Street, Sherman, Maine |
| Phone Number | 2073654335 |
| Fax Number | 2073654336 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033187596 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2013-05-21 |
Provider Mailing Address Detail
| Address | 226 Main Street |
|---|---|
| City | Sherman |
| State | Maine (ME) |
| Post Code | 47760000 |
| Phone Number | 2073654335 |
| Fax Number | 2073654336 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA048 |
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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 |
|---|---|---|---|
| 250940099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore J Pettengill by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore J Pettengill has been assigned the NPI (National Provider Identifier) 1033187596. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Theodore J Pettengill located?
The Theodore J Pettengill is located at 226 Main Street, Sherman, ME 47760000.
What is Theodore J Pettengill's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore J Pettengill is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Theodore J Pettengill's 1033187596 issued?
The Theodore J Pettengill's 1033187596 was issued on 2006-03-10.
As of what date was the information regarding Theodore J Pettengill, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore J Pettengill, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-21.