Alison Heacock in Beavercreek - Physician Assistant

Alison Heacock - NPI 1558306035

Alison Heacock is a Physician Assistant in Beavercreek, Ohio. Alison Heacock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alison Heacock is 1558306035. The last update date is 2018-03-21.

Alison Heacock's current location address is 725 University Blvd, Beavercreek, Ohio. You can contact this provider via phone number 9372457100 and fax number 9372457999. The mailing address for Alison Heacock is 725 University Blvd, Beavercreek, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Alison Heacock
Address 725 University Blvd, Beavercreek, Ohio
Phone Number 9372457100
Fax Number 9372457999
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1558306035
Provider Enumeration Date 2006-06-18
Last Updated Date 2018-03-21

Provider Mailing Address Detail

Address 725 University Blvd
City Beavercreek
State Ohio (OH)
Post Code 453242640
Phone Number 9372457100
Fax Number 9372457999

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP00322600
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
72094 OH --

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FAQs about Alison Heacock

What is the unique identifier code issued to Alison Heacock by the Centers for Medicare & Medicaid Services?

The Alison Heacock has been assigned the NPI (National Provider Identifier) 1558306035. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Alison Heacock is located?

The Alison Heacock is situated at the following address: 725 University Blvd, Beavercreek, OH, 453242640.

What is Alison Heacock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alison Heacock is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558306035 to Alison Heacock?

The Alison Heacock received its 1558306035 assignment from the Centers for Medicare & Medicaid Services on 2006-06-18.

As of what date were the details pertaining to Alison Heacock last refreshed?

The information related to the Alison Heacock, including its address, specialty, and other relevant details, was last updated on 2018-03-21.

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