Denese S Irish in Owosso - Physician Assistant

Denese S Irish - NPI 1093763088

Denese S Irish is a Physician Assistant in Owosso, Michigan. Denese S Irish practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Denese S Irish is 1093763088. The last update date is 2012-10-04.

Denese S Irish's current location address is 113 E Williams St, Owosso, Michigan. You can contact this provider via phone number 9897256101 and fax number 9897233601. The mailing address for Denese S Irish is 113 E Williams St, Owosso, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Denese S Irish
Address 113 E Williams St, Owosso, Michigan
Phone Number 9897256101
Fax Number 9897233601
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1093763088
Provider Enumeration Date 2006-05-04
Last Updated Date 2012-10-04

Provider Mailing Address Detail

Address 113 E Williams St
City Owosso
State Michigan (MI)
Post Code 488672360
Phone Number 9897256101
Fax Number 9897233601

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003942
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
2057815630 BCBSM PIN

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FAQs about Denese S Irish

What is the unique provider identifier assigned to Denese S Irish?

The Denese S Irish has been issued the NPI (National Provider Identifier) 1093763088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Denese S Irish is geographically located?

The Denese S Irish is physically situated at the following location: 113 E Williams St, Owosso, MI, 488672360.

When did Denese S Irish receive its 1093763088 assignment?

The Denese S Irish was assigned its 1093763088 on 2006-05-04, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093763088 to Denese S Irish?

The Centers for Medicare & Medicaid Services originally issued the 1093763088 to Denese S Irish on 2006-05-04.

As of what date were the details pertaining to Denese S Irish last refreshed?

The information related to the Denese S Irish, including its address, specialty, and other relevant details, was last updated on 2012-10-04.

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