Jeanette K Sladick in Dearborn - Physician Assistant
Jeanette K Sladick - NPI 1588688147
Jeanette K Sladick is a Physician Assistant in Dearborn, Michigan. Jeanette K Sladick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeanette K Sladick is 1588688147. The last update date is 2022-10-07.
Jeanette K Sladick's current location address is 18101 Oakwood Blvd, Dearborn, Michigan. You can contact this provider via phone number 3139825440 and fax number 3139825445. The mailing address for Jeanette K Sladick is 18101 Oakwood Blvd, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette K Sladick |
|---|---|
| Address | 18101 Oakwood Blvd, Dearborn, Michigan |
| Phone Number | 3139825440 |
| Fax Number | 3139825445 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1588688147 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 18101 Oakwood Blvd |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481244089 |
| Phone Number | 3139825440 |
| Fax Number | 3139825445 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10112 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 416564100 | MA | -- |
Post Comment/ Review Below
What is the Jeanette K Sladick's unique identification number?
The Jeanette K Sladick has been assigned the NPI (National Provider Identifier) Number 1588688147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jeanette K Sladick is physically located?
The Jeanette K Sladick is situated at the following address: 18101 Oakwood Blvd, Dearborn, MI 481244089.
What is Jeanette K Sladick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeanette K Sladick's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Jeanette K Sladick's 1588688147 issued?
The Jeanette K Sladick's 1588688147 was issued on 2006-07-27.
As of what date was the information pertaining to Jeanette K Sladick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeanette K Sladick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-07.