Teresa Marie Didomenico in Eben Junction - Physician Assistant
Teresa Marie Didomenico - NPI 1114037207
Teresa Marie Didomenico is a Physician Assistant in Eben Junction, Michigan. Teresa Marie Didomenico practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Teresa Marie Didomenico is 1114037207. The last update date is 2009-02-19.
Teresa Marie Didomenico's current location address is Po Box 201, Eben Junction, Michigan. You can contact this provider via phone number 9064395775. The mailing address for Teresa Marie Didomenico is Po Box 201, Eben Junction, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Marie Didomenico |
|---|---|
| Address | Po Box 201, Eben Junction, Michigan |
| Phone Number | 9064395775 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114037207 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-02-19 |
Provider Mailing Address Detail
| Address | Po Box 201 |
|---|---|
| City | Eben Junction |
| State | Michigan (MI) |
| Post Code | 498250201 |
| Phone Number | 9064395775 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002779 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601002779 | MI | MI STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Teresa Marie Didomenico by the Centers for Medicare & Medicaid Services?
The Teresa Marie Didomenico has been issued the NPI (National Provider Identifier) 1114037207, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Teresa Marie Didomenico's facilities are situated?
The facilities of Teresa Marie Didomenico are physically located at the following address: Po Box 201, Eben Junction, MI, 498250201.
What is the area of specialization for Teresa Marie Didomenico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Teresa Marie Didomenico is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Teresa Marie Didomenico receive its 1114037207 assignment from the Centers for Medicare & Medicaid Services?
The Teresa Marie Didomenico was assigned its 1114037207 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Teresa Marie Didomenico, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Teresa Marie Didomenico, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-19.
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