Stephanie E Boring in Edmore - Physician Assistant

Stephanie E Boring - NPI 1942398987

Stephanie E Boring is a Physician Assistant in Edmore, Michigan. Stephanie E Boring practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie E Boring is 1942398987. The last update date is 2012-11-20.

Stephanie E Boring's current location address is 1021 E Main St, Edmore, Michigan. You can contact this provider via phone number 9894275320 and fax number 9894278220. The mailing address for Stephanie E Boring is 1021 E Main St, Edmore, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie E Boring
Address 1021 E Main St, Edmore, Michigan
Phone Number 9894275320
Fax Number 9894278220
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1942398987
Provider Enumeration Date 2006-10-11
Last Updated Date 2012-11-20

Provider Mailing Address Detail

Address 1021 E Main St
City Edmore
State Michigan (MI)
Post Code 488298740
Phone Number 9894275320
Fax Number 9894278220

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003904
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
157311520 MI BCBSM

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FAQs about Stephanie E Boring

What is the unique 10-digit identification code assigned to Stephanie E Boring by the Centers for Medicare & Medicaid Services?

The Stephanie E Boring has been issued the NPI (National Provider Identifier) 1942398987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stephanie E Boring is physically located?

The Stephanie E Boring is physically situated at the following address: 1021 E Main St, Edmore, MI, 488298740.

What is Stephanie E Boring's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephanie E Boring is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Stephanie E Boring receive its 1942398987?

The Stephanie E Boring was issued its 1942398987 on 2006-10-11, which is the date when the organization was assigned this unique identifier.

On what date did the Stephanie E Boring receive its 1942398987 assignment from the Centers for Medicare & Medicaid Services?

The Stephanie E Boring was assigned its 1942398987 by the Centers for Medicare & Medicaid Services on 2006-10-11.

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