Mary G Hermanson in Beulah - Physician Assistant
Mary G Hermanson - NPI 1063512606
Mary G Hermanson is a Physician Assistant in Beulah, North Dakota. Mary G Hermanson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary G Hermanson is 1063512606. The last update date is 2009-04-01.
Mary G Hermanson's current location address is 1312 Highway 49 N, Beulah, North Dakota. You can contact this provider via phone number 7018737788 and fax number 7018734485. The mailing address for Mary G Hermanson is 1312 Highway 49 N, Beulah, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G Hermanson |
|---|---|
| Address | 1312 Highway 49 N, Beulah, North Dakota |
| Phone Number | 7018737788 |
| Fax Number | 7018734485 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063512606 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2009-04-01 |
Provider Mailing Address Detail
| Address | 1312 Highway 49 N |
|---|---|
| City | Beulah |
| State | North Dakota (ND) |
| Post Code | 585236038 |
| Phone Number | 7018737788 |
| Fax Number | 7018734485 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PAC0038 |
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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 |
|---|---|---|---|
| 5913 | ND | -- | |
| 4693 | ND | BLUE SHIELD |
Post Comment/ Review Below
What is the Mary G Hermanson's unique identification number?
The Mary G Hermanson has been assigned the NPI (National Provider Identifier) Number 1063512606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mary G Hermanson's facilities are situated?
The facilities of Mary G Hermanson are physically located at the following address: 1312 Highway 49 N, Beulah, ND, 585236038.
What is Mary G Hermanson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary G Hermanson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Mary G Hermanson receive its 1063512606?
The Mary G Hermanson was issued its 1063512606 on 2006-09-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Mary G Hermanson's details last updated?
The information pertaining to the Mary G Hermanson, including its address, specialty, and other details, was most recently updated on 2009-04-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY