Jeuelle M Ottley Sam in Owings Mills - Physician Assistant
Jeuelle M Ottley Sam - NPI 1740341924
Jeuelle M Ottley Sam is a Physician Assistant in Owings Mills, Maryland. Jeuelle M Ottley Sam practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeuelle M Ottley Sam is 1740341924. The last update date is 2021-03-05.
Jeuelle M Ottley Sam's current location address is 6 Park Center Ct, Owings Mills, Maryland. You can contact this provider via phone number 4439538922 and fax number 8559551334. The mailing address for Jeuelle M Ottley Sam is 6 Park Center Ct, Owings Mills, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeuelle M Ottley Sam |
|---|---|
| Address | 6 Park Center Ct, Owings Mills, Maryland |
| Phone Number | 4439538922 |
| Fax Number | 8559551334 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740341924 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2021-03-05 |
Provider Mailing Address Detail
| Address | 6 Park Center Ct |
|---|---|
| City | Owings Mills |
| State | Maryland (MD) |
| Post Code | 211175604 |
| Phone Number | 4439538922 |
| Fax Number | 8559551334 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0002743 |
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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 Jeuelle M Ottley Sam's area of expertise and its corresponding taxonomy classification?
The Jeuelle M Ottley Sam's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Jeuelle M Ottley Sam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeuelle M Ottley Sam is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Jeuelle M Ottley Sam receive its 1740341924 assignment?
The Jeuelle M Ottley Sam was assigned its 1740341924 on 2006-12-12, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740341924 to Jeuelle M Ottley Sam?
The Centers for Medicare & Medicaid Services originally issued the 1740341924 to Jeuelle M Ottley Sam on 2006-12-12.
When was the information regarding Jeuelle M Ottley Sam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeuelle M Ottley Sam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-05.