Jennifer Lyn Birchenough in Glen Burnie - Physician Assistant

Jennifer Lyn Birchenough - NPI 1164622775

Jennifer Lyn Birchenough is a Physician Assistant in Glen Burnie, Maryland. Jennifer Lyn Birchenough practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Lyn Birchenough is 1164622775. The last update date is 2015-09-22.

Jennifer Lyn Birchenough's current location address is 6934 Aviation Blvd, Glen Burnie, Maryland. You can contact this provider via phone number 4439490814. The mailing address for Jennifer Lyn Birchenough is 6934 Aviation Blvd, Glen Burnie, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Lyn Birchenough
Address 6934 Aviation Blvd, Glen Burnie, Maryland
Phone Number 4439490814
Fax Number
Sole Proprietor N
Credentials OTR, PA-C

NPI Number Detail

NPI Number 1164622775
Provider Enumeration Date 2007-07-21
Last Updated Date 2015-09-22

Provider Mailing Address Detail

Address 6934 Aviation Blvd
City Glen Burnie
State Maryland (MD)
Post Code 210612593
Phone Number 4439490814
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No C0005190
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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FAQs about Jennifer Lyn Birchenough

What is the unique identifier code issued to Jennifer Lyn Birchenough by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Lyn Birchenough has been assigned the NPI (National Provider Identifier) 1164622775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jennifer Lyn Birchenough is physically located?

The Jennifer Lyn Birchenough is physically situated at the following address: 6934 Aviation Blvd, Glen Burnie, MD, 210612593.

What is the Jennifer Lyn Birchenough's area of specialization and corresponding taxonomy classification?

The Jennifer Lyn Birchenough's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Jennifer Lyn Birchenough receive its 1164622775 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Lyn Birchenough was assigned its 1164622775 by the Centers for Medicare & Medicaid Services on 2007-07-21.

As of what date were the Jennifer Lyn Birchenough's details last updated?

The information pertaining to the Jennifer Lyn Birchenough, including its address, specialty, and other details, was most recently updated on 2015-09-22.

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