Amanda Lucille Smith in Bowling Green - Physician Assistant
Amanda Lucille Smith - NPI 1679749014
Amanda Lucille Smith is a Physician Assistant in Bowling Green, Ohio. Amanda Lucille Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda Lucille Smith is 1679749014. The last update date is 2022-06-15.
Amanda Lucille Smith's current location address is 745 Haskins Rd Ste B, Bowling Green, Ohio. You can contact this provider via phone number 4193737607 and fax number 4193537076. The mailing address for Amanda Lucille Smith is 745 Haskins Rd Ste B, Bowling Green, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Lucille Smith |
|---|---|
| Address | 745 Haskins Rd Ste B, Bowling Green, Ohio |
| Phone Number | 4193737607 |
| Fax Number | 4193537076 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1679749014 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2022-06-15 |
Provider Mailing Address Detail
| Address | 745 Haskins Rd Ste B |
|---|---|
| City | Bowling Green |
| State | Ohio (OH) |
| Post Code | 434021600 |
| Phone Number | 4193737607 |
| Fax Number | 4193537076 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA055640 |
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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 |
|---|---|---|---|
| 277704 | OH | -- | |
| 50.005136RX | OH | OHIO MEDICAL LICENSE |
Post Comment/ Review Below
What is the Amanda Lucille Smith's 1679749014?
The Amanda Lucille Smith's NPI (National Provider Identifier) Number is 1679749014. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Amanda Lucille Smith located?
The Amanda Lucille Smith is located at 745 Haskins Rd Ste B, Bowling Green, OH 434021600.
What is the Amanda Lucille Smith's area of specialization and corresponding taxonomy classification?
The Amanda Lucille Smith's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Amanda Lucille Smith receive its 1679749014?
The Amanda Lucille Smith was issued its 1679749014 on 2008-05-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Amanda Lucille Smith most recently updated or revised?
The details related to Amanda Lucille Smith, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-15.
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