Cheressa Lisette Mix in Middleburg - Physician Assistant
Cheressa Lisette Mix - NPI 1104844927
Cheressa Lisette Mix is a Physician Assistant in Middleburg, Pennsylvania. Cheressa Lisette Mix practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cheressa Lisette Mix is 1104844927. The last update date is 2016-01-18.
Cheressa Lisette Mix's current location address is 7 Dock Hill Rd, Middleburg, Pennsylvania. You can contact this provider via phone number 5708372123 and fax number 5708372185. The mailing address for Cheressa Lisette Mix is 7 Dock Hill Rd, Middleburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheressa Lisette Mix |
|---|---|
| Address | 7 Dock Hill Rd, Middleburg, Pennsylvania |
| Phone Number | 5708372123 |
| Fax Number | 5708372185 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104844927 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2016-01-18 |
Provider Mailing Address Detail
| Address | 7 Dock Hill Rd |
|---|---|
| City | Middleburg |
| State | Pennsylvania (PA) |
| Post Code | 178428910 |
| Phone Number | 5708372123 |
| Fax Number | 5708372185 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | OA002107 |
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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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What is the Cheressa Lisette Mix's unique identification number?
The Cheressa Lisette Mix has been assigned the NPI (National Provider Identifier) Number 1104844927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Cheressa Lisette Mix?
The Cheressa Lisette Mix is situated at 7 Dock Hill Rd, in the city of Middleburg, state of PA, with the zip code 178428910.
What is Cheressa Lisette Mix's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cheressa Lisette Mix is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Cheressa Lisette Mix receive its 1104844927 assignment?
The Cheressa Lisette Mix was assigned its 1104844927 on 2006-07-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Cheressa Lisette Mix last refreshed?
The information related to the Cheressa Lisette Mix, including its address, specialty, and other relevant details, was last updated on 2016-01-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY