Rene L Wells is a Physician Assistant in Du Bois, Pennsylvania. Rene L Wells practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rene L Wells is 1104991777. The last update date is 2011-04-06.
Rene L Wells's current location address is 90 Beaver Dr Bldg C, Du Bois, Pennsylvania. You can contact this provider via phone number 8143172273. The mailing address for Rene L Wells is 90 Beaver Dr Bldg C, Du Bois, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rene L Wells |
|---|---|
| Address | 90 Beaver Dr Bldg C, Du Bois, Pennsylvania |
| Phone Number | 8143172273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104991777 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2011-04-06 |
Provider Mailing Address Detail
| Address | 90 Beaver Dr Bldg C |
|---|---|
| City | Du Bois |
| State | Pennsylvania (PA) |
| Post Code | 158012440 |
| Phone Number | 8143172273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA051791 |
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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 |
|---|---|---|---|
| 18251700002 | PA | -- | |
| 2078210 | PA | BLUE SHIELD | |
| V0075D | PA | UPMC | |
| 61854 | PA | GEISINGER |
Post Comment/ Review Below
What is the unique identification code assigned to Rene L Wells by the Centers for Medicare & Medicaid Services?
The Rene L Wells has been issued the NPI (National Provider Identifier) 1104991777. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Rene L Wells's physical address?
The Rene L Wells is physically located at 90 Beaver Dr Bldg C, in the city of Du Bois, PA, with the postal code 158012440.
What is Rene L Wells'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 Rene L Wells is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104991777 to Rene L Wells?
The Centers for Medicare & Medicaid Services originally issued the 1104991777 to Rene L Wells on 2006-11-21.
As of what date were the details pertaining to Rene L Wells last refreshed?
The information related to the Rene L Wells, including its address, specialty, and other relevant details, was last updated on 2011-04-06.
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