Boardman Health And Wellness, Pllc in S Boardman - Physician Assistant
Boardman Health And Wellness, Pllc - NPI 1063453363
Boardman Health And Wellness, Pllc is a Physician Assistant in S Boardman, Michigan. Boardman Health And Wellness, Pllc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Boardman Health And Wellness, Pllc is 1063453363. The last update date is 2020-08-22.
Boardman Health And Wellness, Pllc's current location address is 4713 Pine St Sw, S Boardman, Michigan. You can contact this provider via phone number 2313692656. The mailing address for Boardman Health And Wellness, Pllc is 4713 Pine St Sw, S Boardman, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boardman Health And Wellness, Pllc |
|---|---|
| Address | 4713 Pine St Sw, S Boardman, Michigan |
| Phone Number | 2313692656 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Stetler Keane Thomas |
| Credentials | PA-C |
| Telephone Number | 2313692656 |
NPI Number Detail
| NPI Number | 1063453363 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4713 Pine St Sw |
|---|---|
| City | S Boardman |
| State | Michigan (MI) |
| Post Code | 496809761 |
| Phone Number | 2313692656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003799 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Boardman Health And Wellness, Pllc?
The Boardman Health And Wellness, Pllc has been issued the NPI (National Provider Identifier) 1063453363 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 Boardman Health And Wellness, Pllc is geographically located?
The Boardman Health And Wellness, Pllc is physically situated at the following location: 4713 Pine St Sw, S Boardman, MI, 496809761.
What is Boardman Health And Wellness, Pllc's area of expertise and its corresponding taxonomy classification?
The Boardman Health And Wellness, Pllc's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Boardman Health And Wellness, Pllc receive its 1063453363 assignment?
The Boardman Health And Wellness, Pllc was assigned its 1063453363 on 2006-06-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Boardman Health And Wellness, Pllc last refreshed?
The information related to the Boardman Health And Wellness, Pllc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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