Jacen A Martinez in Lutherville - Physician Assistant
Jacen A Martinez - NPI 1568560472
Jacen A Martinez is a Physician Assistant in Lutherville, Maryland. Jacen A Martinez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacen A Martinez is 1568560472. The last update date is 2015-09-23.
Jacen A Martinez's current location address is 1400 Front Ave, Lutherville, Maryland. You can contact this provider via phone number 4102966232 and fax number 4108215943. The mailing address for Jacen A Martinez is 1400 Front Ave, Lutherville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacen A Martinez |
|---|---|
| Address | 1400 Front Ave, Lutherville, Maryland |
| Phone Number | 4102966232 |
| Fax Number | 4108215943 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1568560472 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 1400 Front Ave |
|---|---|
| City | Lutherville |
| State | Maryland (MD) |
| Post Code | 210935300 |
| Phone Number | 4102966232 |
| Fax Number | 4108215943 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0001908 |
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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 Jacen A Martinez by the Centers for Medicare & Medicaid Services?
The Jacen A Martinez has been issued the NPI (National Provider Identifier) 1568560472. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacen A Martinez is physically located?
The Jacen A Martinez is situated at the following address: 1400 Front Ave, Lutherville, MD 210935300.
What is Jacen A Martinez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacen A Martinez's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1568560472 assigned to Jacen A Martinez?
The Jacen A Martinez was issued its 1568560472 on 2006-09-21, 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 Jacen A Martinez's details last updated?
The information pertaining to the Jacen A Martinez, including its address, specialty, and other details, was most recently updated on 2015-09-23.