Maurice Eugene Fongers in Greenville - Physician Assistant
Maurice Eugene Fongers - NPI 1790893014
Maurice Eugene Fongers is a Physician Assistant in Greenville, Michigan. Maurice Eugene Fongers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maurice Eugene Fongers is 1790893014. The last update date is 2021-03-15.
Maurice Eugene Fongers's current location address is 707 S Greenville West Dr, Greenville, Michigan. You can contact this provider via phone number 6167543001 and fax number 6167543828. The mailing address for Maurice Eugene Fongers is 707 S Greenville West Dr, Greenville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maurice Eugene Fongers |
|---|---|
| Address | 707 S Greenville West Dr, Greenville, Michigan |
| Phone Number | 6167543001 |
| Fax Number | 6167543828 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790893014 |
|---|---|
| Provider Enumeration Date | 2006-08-27 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 707 S Greenville West Dr |
|---|---|
| City | Greenville |
| State | Michigan (MI) |
| Post Code | 488383514 |
| Phone Number | 6167543001 |
| Fax Number | 6167543828 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002820 |
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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 Maurice Eugene Fongers's 1790893014?
The Maurice Eugene Fongers's NPI (National Provider Identifier) Number is 1790893014. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Maurice Eugene Fongers located?
The Maurice Eugene Fongers is located at 707 S Greenville West Dr, Greenville, MI 488383514.
What is the Maurice Eugene Fongers's specialty and taxonomy code?
The Maurice Eugene Fongers's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790893014 to Maurice Eugene Fongers?
The Maurice Eugene Fongers received its 1790893014 assignment from the Centers for Medicare & Medicaid Services on 2006-08-27.
When was the Maurice Eugene Fongers's information last updated?
The Maurice Eugene Fongers's information was last updated on 2021-03-15.