John S Braxton in Havre De Grace - Physician Assistant
John S Braxton - NPI 1902809734
John S Braxton is a Physician Assistant in Havre De Grace, Maryland. John S Braxton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John S Braxton is 1902809734. The last update date is 2015-12-15.
John S Braxton's current location address is 253 Lewis Ln, Havre De Grace, Maryland. You can contact this provider via phone number 4435027060 and fax number 4103789922. The mailing address for John S Braxton is 253 Lewis Ln, Havre De Grace, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John S Braxton |
|---|---|
| Address | 253 Lewis Ln, Havre De Grace, Maryland |
| Phone Number | 4435027060 |
| Fax Number | 4103789922 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1902809734 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 253 Lewis Ln |
|---|---|
| City | Havre De Grace |
| State | Maryland (MD) |
| Post Code | 2107837500 |
| Phone Number | 4435027060 |
| Fax Number | 4103789922 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0000645 |
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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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What is the unique identification code assigned to John S Braxton by the Centers for Medicare & Medicaid Services?
The John S Braxton has been issued the NPI (National Provider Identifier) 1902809734. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John S Braxton's physical address?
The John S Braxton is physically located at 253 Lewis Ln, in the city of Havre De Grace, MD, with the postal code 2107837500.
What is John S Braxton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John S Braxton is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1902809734 assigned to John S Braxton?
The John S Braxton was issued its 1902809734 on 2005-05-24, 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 related to John S Braxton most recently updated or revised?
The information pertaining to John S Braxton, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-15.