Ellen Jo Stibitz in Muskegon - Physician Assistant

Ellen Jo Stibitz - NPI 1396708533

Ellen Jo Stibitz is a Physician Assistant in Muskegon, Michigan. Ellen Jo Stibitz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ellen Jo Stibitz is 1396708533. The last update date is 2015-03-19.

Ellen Jo Stibitz's current location address is 2201 S Getty St, Muskegon, Michigan. You can contact this provider via phone number 2317399315 and fax number 2317371808. The mailing address for Ellen Jo Stibitz is 2201 S Getty St, Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Jo Stibitz
Address 2201 S Getty St, Muskegon, Michigan
Phone Number 2317399315
Fax Number 2317371808
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1396708533
Provider Enumeration Date 2006-04-10
Last Updated Date 2015-03-19

Provider Mailing Address Detail

Address 2201 S Getty St
City Muskegon
State Michigan (MI)
Post Code 494441207
Phone Number 2317399315
Fax Number 2317371808

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003340
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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FAQs about Ellen Jo Stibitz

What is the unique 10-digit identification code assigned to Ellen Jo Stibitz by the Centers for Medicare & Medicaid Services?

The Ellen Jo Stibitz has been issued the NPI (National Provider Identifier) 1396708533, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Ellen Jo Stibitz's physical address?

The Ellen Jo Stibitz is physically located at 2201 S Getty St, in the city of Muskegon, MI, with the postal code 494441207.

What is the area of specialization for Ellen Jo Stibitz, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ellen Jo Stibitz is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date was the 1396708533 assigned to Ellen Jo Stibitz?

The Ellen Jo Stibitz was issued its 1396708533 on 2006-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Ellen Jo Stibitz most recently updated or revised?

The information pertaining to Ellen Jo Stibitz, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-19.

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