Stacy Lane Herman in Brockton - Physician Assistant
Stacy Lane Herman - NPI 1457482895
Stacy Lane Herman is a Physician Assistant in Brockton, Massachusetts. Stacy Lane Herman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy Lane Herman is 1457482895. The last update date is 2013-05-01.
Stacy Lane Herman's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417400. The mailing address for Stacy Lane Herman is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Lane Herman |
|---|---|
| Address | 680 Centre St, Brockton, Massachusetts |
| Phone Number | 5089417400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1457482895 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-05-01 |
Provider Mailing Address Detail
| Address | 680 Centre St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23023308 |
| Phone Number | 5089417400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | AP 970 |
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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 10-digit identifier code assigned to Stacy Lane Herman by the Centers for Medicare & Medicaid Services?
The Stacy Lane Herman has been issued the NPI (National Provider Identifier) 1457482895 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Stacy Lane Herman?
The Stacy Lane Herman is situated at 680 Centre St, in the city of Brockton, state of MA, with the zip code 23023308.
What is Stacy Lane Herman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Lane Herman's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1457482895 assigned to Stacy Lane Herman?
The Stacy Lane Herman was issued its 1457482895 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Stacy Lane Herman's information last updated?
The Stacy Lane Herman's information was last updated on 2013-05-01.
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