Ellen B Jankowski in South Portland - Physician Assistant
Ellen B Jankowski - NPI 1417963109
Ellen B Jankowski is a Physician Assistant in South Portland, Maine. Ellen B Jankowski practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ellen B Jankowski is 1417963109. The last update date is 2020-09-26.
Ellen B Jankowski's current location address is 100 Gannett Dr, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Ellen B Jankowski is 100 Gannett Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ellen B Jankowski |
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Address | 100 Gannett Dr, South Portland, Maine |
Phone Number | 2078280361 |
Fax Number | 2078741483 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1417963109 |
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Provider Enumeration Date | 2006-08-01 |
Last Updated Date | 2020-09-26 |
Provider Mailing Address Detail
Address | 100 Gannett Dr |
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City | South Portland |
State | Maine (ME) |
Post Code | 41065900 |
Phone Number | 2078280361 |
Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA10004431 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
166563 | WA | L&I PIN | |
272170099 | ME | -- | |
8324659 | WA | -- | |
54807U | WA | REGENCE BLUE SHIELD PIN |
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What is the Ellen B Jankowski's unique identification number?
The Ellen B Jankowski has been assigned the NPI (National Provider Identifier) Number 1417963109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ellen B Jankowski's physical address?
The Ellen B Jankowski is physically located at 100 Gannett Dr, in the city of South Portland, ME, with the postal code 41065900.
What is Ellen B Jankowski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ellen B Jankowski's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1417963109 assigned to Ellen B Jankowski?
The Ellen B Jankowski was issued its 1417963109 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ellen B Jankowski last refreshed?
The information related to the Ellen B Jankowski, including its address, specialty, and other relevant details, was last updated on 2020-09-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY