Tara Jo Trout in Lebanon - Physician Assistant
Tara Jo Trout - NPI 1801803432
Tara Jo Trout is a Physician Assistant in Lebanon, Pennsylvania. Tara Jo Trout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tara Jo Trout is 1801803432. The last update date is 2016-08-31.
Tara Jo Trout's current location address is 1701 Cornwall Rd, Lebanon, Pennsylvania. You can contact this provider via phone number 7176751788 and fax number 7176751800. The mailing address for Tara Jo Trout is 1701 Cornwall Rd, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Jo Trout |
|---|---|
| Address | 1701 Cornwall Rd, Lebanon, Pennsylvania |
| Phone Number | 7176751788 |
| Fax Number | 7176751800 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801803432 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2016-08-31 |
Provider Mailing Address Detail
| Address | 1701 Cornwall Rd |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170427480 |
| Phone Number | 7176751788 |
| Fax Number | 7176751800 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA052621 |
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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 |
|---|---|---|---|
| MA052621 | PA | PHYSICIAN ASSISTANT LICEN |
Post Comment/ Review Below
What is the unique identifier code issued to Tara Jo Trout by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Jo Trout has been assigned the NPI (National Provider Identifier) 1801803432. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Tara Jo Trout is physically located?
The Tara Jo Trout is situated at the following address: 1701 Cornwall Rd, Lebanon, PA 170427480.
What is the Tara Jo Trout's specialty and taxonomy code?
The Tara Jo Trout's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Tara Jo Trout's 1801803432 issued?
The Tara Jo Trout's 1801803432 was issued on 2006-08-03.
As of what date were the details pertaining to Tara Jo Trout last refreshed?
The information related to the Tara Jo Trout, including its address, specialty, and other relevant details, was last updated on 2016-08-31.
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