Heidi L Boerman in Fort Drum - Physician Assistant

Heidi L Boerman - NPI 1427048412

Heidi L Boerman is a Physician Assistant in Fort Drum, New York. Heidi L Boerman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heidi L Boerman is 1427048412. The last update date is 2007-07-08.

Heidi L Boerman's current location address is Usa Meddac Attn: Credentials, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for Heidi L Boerman is Usa Meddac Attn: Credentials, Fort Drum, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Heidi L Boerman
Address Usa Meddac Attn: Credentials, Fort Drum, New York
Phone Number 3157724025
Fax Number 3157729498
Sole Proprietor X
Credentials PA-C, ATC

NPI Number Detail

NPI Number 1427048412
Provider Enumeration Date 2005-10-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Usa Meddac Attn: Credentials
City Fort Drum
State New York (NY)
Post Code 136025004
Phone Number 3157724025
Fax Number 3157729498

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1455
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 Heidi L Boerman

What is the unique provider identifier assigned to Heidi L Boerman?

The Heidi L Boerman has been issued the NPI (National Provider Identifier) 1427048412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Heidi L Boerman is physically located?

The Heidi L Boerman is situated at the following address: Usa Meddac Attn: Credentials, Fort Drum, NY 136025004.

What is Heidi L Boerman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Heidi L Boerman is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Heidi L Boerman receive its 1427048412 assignment from the Centers for Medicare & Medicaid Services?

The Heidi L Boerman was assigned its 1427048412 by the Centers for Medicare & Medicaid Services on 2005-10-21.

When was the information related to Heidi L Boerman most recently updated or refreshed?

The details pertaining to the Heidi L Boerman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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