Thomas Osborn Wansleben in Lebanon - Physician Assistant

Thomas Osborn Wansleben - NPI 1063456879

Thomas Osborn Wansleben is a Physician Assistant in Lebanon, New Hampshire. Thomas Osborn Wansleben practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas Osborn Wansleben is 1063456879. The last update date is 2011-11-03.

Thomas Osborn Wansleben's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036539500 and fax number 6036500915. The mailing address for Thomas Osborn Wansleben is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Osborn Wansleben
Address 1 Medical Center Dr, Lebanon, New Hampshire
Phone Number 6036539500
Fax Number 6036500915
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1063456879
Provider Enumeration Date 2006-06-15
Last Updated Date 2011-11-03

Provider Mailing Address Detail

Address 1 Medical Center Dr
City Lebanon
State New Hampshire (NH)
Post Code 37561000
Phone Number 6036539500
Fax Number 6036500915

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10
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
40005138 NH --
0AP0936 VT --

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FAQs about Thomas Osborn Wansleben

What is the Thomas Osborn Wansleben's 1063456879?

The Thomas Osborn Wansleben's NPI (National Provider Identifier) Number is 1063456879. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Thomas Osborn Wansleben's physical address?

The Thomas Osborn Wansleben is physically located at 1 Medical Center Dr, in the city of Lebanon, NH, with the postal code 37561000.

What is Thomas Osborn Wansleben's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas Osborn Wansleben is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Thomas Osborn Wansleben receive the assignment of its 1063456879 from the Centers for Medicare & Medicaid Services?

The Thomas Osborn Wansleben was issued its 1063456879 by the Centers for Medicare & Medicaid Services on 2006-06-15.

As of what date was the information pertaining to Thomas Osborn Wansleben, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Osborn Wansleben, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-03.

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