S Michelle Thornblade in Baltimore - Physician Assistant
S Michelle Thornblade - NPI 1629079454
S Michelle Thornblade is a Physician Assistant in Baltimore, Maryland. S Michelle Thornblade practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for S Michelle Thornblade is 1629079454. The last update date is 2007-07-08.
S Michelle Thornblade's current location address is 330 N Howard St, Baltimore, Maryland. You can contact this provider via phone number 4105761400 and fax number 4105767600. The mailing address for S Michelle Thornblade is 330 N Howard St, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | S Michelle Thornblade |
|---|---|
| Address | 330 N Howard St, Baltimore, Maryland |
| Phone Number | 4105761400 |
| Fax Number | 4105767600 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1629079454 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 330 N Howard St |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212013610 |
| Phone Number | 4105761400 |
| Fax Number | 4105767600 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0002969 |
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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 |
|---|---|---|---|
| 1421 | CO | LICENSE (EXPIRED) | |
| PA02088 | TX | PA LICENSE (INACTIVE STAT |
Post Comment/ Review Below
What is the unique provider identifier assigned to S Michelle Thornblade?
The S Michelle Thornblade has been issued the NPI (National Provider Identifier) 1629079454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to S Michelle Thornblade by the Centers for Medicare & Medicaid Services?
The S Michelle Thornblade has been assigned the NPI (National Provider Identifier) 1629079454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of S Michelle Thornblade?
The S Michelle Thornblade is situated at 330 N Howard St, in the city of Baltimore, state of MD, with the zip code 212013610.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629079454 to S Michelle Thornblade?
The Centers for Medicare & Medicaid Services originally issued the 1629079454 to S Michelle Thornblade on 2005-08-02.
As of what date were the details pertaining to S Michelle Thornblade last refreshed?
The information related to the S Michelle Thornblade, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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