Traci M. Moreland in Canton - Physician Assistant
Traci M. Moreland - NPI 1891836045
Traci M. Moreland is a Physician Assistant in Canton, Ohio. Traci M. Moreland practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Traci M. Moreland is 1891836045. The last update date is 2008-07-17.
Traci M. Moreland's current location address is 1455 Harrison Ave Nw, Canton, Ohio. You can contact this provider via phone number 3304539993 and fax number 3304539996. The mailing address for Traci M. Moreland is 1455 Harrison Ave Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci M. Moreland |
|---|---|
| Address | 1455 Harrison Ave Nw, Canton, Ohio |
| Phone Number | 3304539993 |
| Fax Number | 3304539996 |
| Sole Proprietor | N |
| Credentials | MPA-C |
NPI Number Detail
| NPI Number | 1891836045 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 1455 Harrison Ave Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447082621 |
| Phone Number | 3304539993 |
| Fax Number | 3304539996 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50-00-1745 |
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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 |
|---|---|---|---|
| 4169790001 | OH | -- |
Post Comment/ Review Below
What is the Traci M. Moreland's unique identification number?
The Traci M. Moreland has been assigned the NPI (National Provider Identifier) Number 1891836045 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 Traci M. Moreland's facilities are situated?
The facilities of Traci M. Moreland are physically located at the following address: 1455 Harrison Ave Nw, Canton, OH, 447082621.
What is the Traci M. Moreland's area of specialization and corresponding taxonomy classification?
The Traci M. Moreland's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Traci M. Moreland receive its 1891836045 assignment from the Centers for Medicare & Medicaid Services?
The Traci M. Moreland was assigned its 1891836045 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Traci M. Moreland most recently updated or revised?
The information pertaining to Traci M. Moreland, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.
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