Eric S Dildine is a Physician Assistant in Bend, Oregon. Eric S Dildine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eric S Dildine is 1194897264. The last update date is 2013-04-04.
Eric S Dildine's current location address is Po Box 5579, Bend, Oregon. You can contact this provider via phone number 5417067715 and fax number 5417067742. The mailing address for Eric S Dildine is Po Box 5579, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric S Dildine |
|---|---|
| Address | Po Box 5579, Bend, Oregon |
| Phone Number | 5417067715 |
| Fax Number | 5417067742 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194897264 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | Po Box 5579 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977085579 |
| Phone Number | 5417067715 |
| Fax Number | 5417067742 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01169 |
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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 |
|---|---|---|---|
| 479095 | OR | RAILROAD MEDICARE | |
| 11745011 | OR | CAQH ID | |
| 500608143 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eric S Dildine by the Centers for Medicare & Medicaid Services?
The Eric S Dildine has been issued the NPI (National Provider Identifier) 1194897264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Eric S Dildine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric S Dildine's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Eric S Dildine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric S Dildine is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Eric S Dildine receive its 1194897264 assignment from the Centers for Medicare & Medicaid Services?
The Eric S Dildine was assigned its 1194897264 on 2006-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1194897264 to Eric S Dildine?
The Centers for Medicare & Medicaid Services assigned the 1194897264 to Eric S Dildine on 2006-11-14.