Daniel Wayne Ingram in Raleigh - Physician Assistant
Daniel Wayne Ingram - NPI 1750356192
Daniel Wayne Ingram is a Physician Assistant in Raleigh, North Carolina. Daniel Wayne Ingram practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Daniel Wayne Ingram is 1750356192. The last update date is 2021-03-29.
Daniel Wayne Ingram's current location address is 4207 Lake Boone Trl, Raleigh, North Carolina. You can contact this provider via phone number 9197853400. The mailing address for Daniel Wayne Ingram is 4207 Lake Boone Trl, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Daniel Wayne Ingram |
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Address | 4207 Lake Boone Trl, Raleigh, North Carolina |
Phone Number | 9197853400 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA C |
NPI Number Detail
NPI Number | 1750356192 |
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Provider Enumeration Date | 2006-02-21 |
Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
Address | 4207 Lake Boone Trl |
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City | Raleigh |
State | North Carolina (NC) |
Post Code | 27607 |
Phone Number | 9197853400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 102777 |
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 |
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7910885 | NC | -- |
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What is the unique 10-digit identification code issued to Daniel Wayne Ingram by the Centers for Medicare & Medicaid Services?
The Daniel Wayne Ingram has been assigned the NPI (National Provider Identifier) 1750356192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Daniel Wayne Ingram is physically located?
The Daniel Wayne Ingram is physically situated at the following address: 4207 Lake Boone Trl, Raleigh, NC, 27607.
What is the Daniel Wayne Ingram's specialty and taxonomy code?
The Daniel Wayne Ingram's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1750356192 assigned to Daniel Wayne Ingram?
The Daniel Wayne Ingram was issued its 1750356192 on 2006-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Daniel Wayne Ingram's details last updated?
The information pertaining to the Daniel Wayne Ingram, including its address, specialty, and other details, was most recently updated on 2021-03-29.