Jeffrey Ray Senn in Fargo - Physician Assistant

Jeffrey Ray Senn - NPI 1891717450

Jeffrey Ray Senn is a Physician Assistant in Fargo, North Dakota. Jeffrey Ray Senn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Ray Senn is 1891717450. The last update date is 2013-04-16.

Jeffrey Ray Senn's current location address is 2101 Elm St N, Fargo, North Dakota. You can contact this provider via phone number 7012393700 and fax number 7012393719. The mailing address for Jeffrey Ray Senn is 2101 Elm St N, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Ray Senn
Address 2101 Elm St N, Fargo, North Dakota
Phone Number 7012393700
Fax Number 7012393719
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1891717450
Provider Enumeration Date 2006-07-24
Last Updated Date 2013-04-16

Provider Mailing Address Detail

Address 2101 Elm St N
City Fargo
State North Dakota (ND)
Post Code 581022417
Phone Number 7012393700
Fax Number 7012393719

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PAC0296
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
866438200 MN --

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FAQs about Jeffrey Ray Senn

Can you provide the Jeffrey Ray Senn's physical address?

The Jeffrey Ray Senn is physically located at 2101 Elm St N, in the city of Fargo, ND, with the postal code 581022417.

Could you please provide the complete street address where Jeffrey Ray Senn is physically located?

The Jeffrey Ray Senn is physically situated at the following address: 2101 Elm St N, Fargo, ND, 581022417.

When did the Jeffrey Ray Senn receive its 1891717450?

The Jeffrey Ray Senn was issued its 1891717450 on 2006-07-24, which is the date when the organization was assigned this unique identifier.

On what date did the Jeffrey Ray Senn receive its 1891717450 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Ray Senn was assigned its 1891717450 by the Centers for Medicare & Medicaid Services on 2006-07-24.

As of what date were the details related to Jeffrey Ray Senn most recently updated or revised?

The information pertaining to Jeffrey Ray Senn, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-16.

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