William Jacob Wahlert in Albuquerque - Physician Assistant

William Jacob Wahlert - NPI 1497736789

William Jacob Wahlert is a Physician Assistant in Albuquerque, New Mexico. William Jacob Wahlert practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Jacob Wahlert is 1497736789. The last update date is 2011-01-21.

William Jacob Wahlert's current location address is 3825 Eubank Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052988020 and fax number 5052378803. The mailing address for William Jacob Wahlert is 3825 Eubank Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name William Jacob Wahlert
Address 3825 Eubank Blvd Ne, Albuquerque, New Mexico
Phone Number 5052988020
Fax Number 5052378803
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1497736789
Provider Enumeration Date 2005-11-14
Last Updated Date 2011-01-21

Provider Mailing Address Detail

Address 3825 Eubank Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871113591
Phone Number 5052988020
Fax Number 5052378803

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 88PA17
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 William Jacob Wahlert

What is the unique provider identifier assigned to William Jacob Wahlert?

The William Jacob Wahlert has been issued the NPI (National Provider Identifier) 1497736789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of William Jacob Wahlert?

The William Jacob Wahlert is situated at 3825 Eubank Blvd Ne, in the city of Albuquerque, state of NM, with the zip code 871113591.

What is the area of specialization for William Jacob Wahlert, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for William Jacob Wahlert is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497736789 to William Jacob Wahlert?

The Centers for Medicare & Medicaid Services assigned the 1497736789 to William Jacob Wahlert on 2005-11-14.

As of what date were the details related to William Jacob Wahlert most recently updated or revised?

The information pertaining to William Jacob Wahlert, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-21.

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