Bonnie K. Revere in Cincinnati - Physician Assistant
Bonnie K. Revere - NPI 1255453403
Bonnie K. Revere is a Physician Assistant in Cincinnati, Ohio. Bonnie K. Revere practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bonnie K. Revere is 1255453403. The last update date is 2007-07-08.
Bonnie K. Revere's current location address is 411 Oak St, Cincinnati, Ohio. You can contact this provider via phone number 5139841800 and fax number 5139844909. The mailing address for Bonnie K. Revere is 411 Oak St, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonnie K. Revere |
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Address | 411 Oak St, Cincinnati, Ohio |
Phone Number | 5139841800 |
Fax Number | 5139844909 |
Sole Proprietor | N |
Credentials | P.A.-C |
NPI Number Detail
NPI Number | 1255453403 |
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Provider Enumeration Date | 2007-04-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 411 Oak St |
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City | Cincinnati |
State | Ohio (OH) |
Post Code | 452192598 |
Phone Number | 5139841800 |
Fax Number | 5139844909 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA00350 |
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 |
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PA00350 | TX | PHYSICIAN ASSISTANT PERMI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bonnie K. Revere by the Centers for Medicare & Medicaid Services?
The Bonnie K. Revere has been assigned the NPI (National Provider Identifier) 1255453403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Bonnie K. Revere is physically located?
The Bonnie K. Revere is situated at the following address: 411 Oak St, Cincinnati, OH 452192598.
What is Bonnie K. Revere's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonnie K. Revere's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Bonnie K. Revere receive its 1255453403 assignment from the Centers for Medicare & Medicaid Services?
The Bonnie K. Revere was assigned its 1255453403 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information related to Bonnie K. Revere most recently updated or refreshed?
The details pertaining to the Bonnie K. Revere, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.