Jill Alison Conkle in Miamisburg - Physician Assistant

Jill Alison Conkle - NPI 1144390394

Jill Alison Conkle is a Physician Assistant in Miamisburg, Ohio. Jill Alison Conkle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Alison Conkle is 1144390394. The last update date is 2013-09-17.

Jill Alison Conkle's current location address is 2110 Leiter Rd, Miamisburg, Ohio. You can contact this provider via phone number 9379147054 and fax number 9375227685. The mailing address for Jill Alison Conkle is 2110 Leiter Rd, Miamisburg, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Alison Conkle
Address 2110 Leiter Rd, Miamisburg, Ohio
Phone Number 9379147054
Fax Number 9375227685
Sole Proprietor N
Credentials PHYSICIAN

NPI Number Detail

NPI Number 1144390394
Provider Enumeration Date 2006-11-08
Last Updated Date 2013-09-17

Provider Mailing Address Detail

Address 2110 Leiter Rd
City Miamisburg
State Ohio (OH)
Post Code 453423660
Phone Number 9379147054
Fax Number 9375227685

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50000288
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
50000288 OH OHIO LICENSE

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FAQs about Jill Alison Conkle

What is the Jill Alison Conkle's 1144390394?

The Jill Alison Conkle's NPI (National Provider Identifier) Number is 1144390394. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jill Alison Conkle is geographically located?

The Jill Alison Conkle is physically situated at the following location: 2110 Leiter Rd, Miamisburg, OH, 453423660.

What is the area of specialization for Jill Alison Conkle, and what is the corresponding taxonomy classification code for this field?

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

On what date did the Jill Alison Conkle receive its 1144390394 assignment from the Centers for Medicare & Medicaid Services?

The Jill Alison Conkle was assigned its 1144390394 by the Centers for Medicare & Medicaid Services on 2006-11-08.

As of what date was the information regarding Jill Alison Conkle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jill Alison Conkle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-17.

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