Brandi Jo Desaveur in Philadelphia - Physician Assistant
Brandi Jo Desaveur - NPI 1255411468
Brandi Jo Desaveur is a Physician Assistant in Philadelphia, Pennsylvania. Brandi Jo Desaveur practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brandi Jo Desaveur is 1255411468. The last update date is 2018-08-15.
Brandi Jo Desaveur's current location address is Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania. You can contact this provider via phone number 8132818115 and fax number 8132818656. The mailing address for Brandi Jo Desaveur is Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandi Jo Desaveur |
|---|---|
| Address | Po Box 8500 Lockbox 7642, Philadelphia, Pennsylvania |
| Phone Number | 8132818115 |
| Fax Number | 8132818656 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255411468 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2018-08-15 |
Provider Mailing Address Detail
| Address | Po Box 8500 Lockbox 7642 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191787642 |
| Phone Number | 8132818115 |
| Fax Number | 8132818656 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10005083 |
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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 |
|---|---|---|---|
| 234704 | WA | L&I | |
| P00613585 | WA | RR MEDICARE | |
| 80768780 | WA | ID MEDICAID | |
| 234704 | WA | CRIME VICTIMS | |
| 8799DE | WA | ASURIS |
Post Comment/ Review Below
What is the unique identifier code issued to Brandi Jo Desaveur by the Centers for Medicare & Medicaid Services?
The Brandi Jo Desaveur has been assigned the NPI (National Provider Identifier) 1255411468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brandi Jo Desaveur's facilities are geographically located?
The facilities of Brandi Jo Desaveur are physically situated at the following location: Po Box 8500 Lockbox 7642, Philadelphia, PA, 191787642.
What is Brandi Jo Desaveur's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandi Jo Desaveur is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255411468 to Brandi Jo Desaveur?
The Brandi Jo Desaveur received its 1255411468 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details pertaining to Brandi Jo Desaveur last refreshed?
The information related to the Brandi Jo Desaveur, including its address, specialty, and other relevant details, was last updated on 2018-08-15.
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