Jennifer Castillo Podgorny in Dearborn - Physician Assistant
Jennifer Castillo Podgorny - NPI 1710181813
Jennifer Castillo Podgorny is a Physician Assistant in Dearborn, Michigan. Jennifer Castillo Podgorny practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Castillo Podgorny is 1710181813. The last update date is 2021-02-23.
Jennifer Castillo Podgorny's current location address is 18181 Oakwood Blvd, Dearborn, Michigan. You can contact this provider via phone number 3139825290 and fax number 3139825295. The mailing address for Jennifer Castillo Podgorny is 18181 Oakwood Blvd, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Castillo Podgorny |
|---|---|
| Address | 18181 Oakwood Blvd, Dearborn, Michigan |
| Phone Number | 3139825290 |
| Fax Number | 3139825295 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710181813 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2021-02-23 |
Provider Mailing Address Detail
| Address | 18181 Oakwood Blvd |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481245032 |
| Phone Number | 3139825290 |
| Fax Number | 3139825295 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 identification code issued to Jennifer Castillo Podgorny by the Centers for Medicare & Medicaid Services?
The Jennifer Castillo Podgorny has been assigned the NPI (National Provider Identifier) 1710181813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jennifer Castillo Podgorny?
The Jennifer Castillo Podgorny is physically situated at 18181 Oakwood Blvd, in the city of Dearborn, state of MI, with the postal code 481245032.
What is Jennifer Castillo Podgorny's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Castillo Podgorny is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710181813 to Jennifer Castillo Podgorny?
The Jennifer Castillo Podgorny received its 1710181813 assignment from the Centers for Medicare & Medicaid Services on 2007-06-13.
When was the information regarding Jennifer Castillo Podgorny most recently updated?
The details pertaining to the Jennifer Castillo Podgorny, including its address, specialty, and other relevant information, were last refreshed on 2021-02-23.
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