Philip Wagenbach in Bomoseen - Physician Assistant
Philip Wagenbach - NPI 1790797116
Philip Wagenbach is a Physician Assistant in Bomoseen, Vermont. Philip Wagenbach practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Philip Wagenbach is 1790797116. The last update date is 2015-10-05.
Philip Wagenbach's current location address is 275 Route 30 N, Bomoseen, Vermont. You can contact this provider via phone number 8024685641 and fax number 8024682923. The mailing address for Philip Wagenbach is 275 Route 30 N, Bomoseen, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Philip Wagenbach |
---|---|
Address | 275 Route 30 N, Bomoseen, Vermont |
Phone Number | 8024685641 |
Fax Number | 8024682923 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1790797116 |
---|---|
Provider Enumeration Date | 2006-08-13 |
Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
Address | 275 Route 30 N |
---|---|
City | Bomoseen |
State | Vermont (VT) |
Post Code | 57329647 |
Phone Number | 8024685641 |
Fax Number | 8024682923 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 1695 |
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 |
Post Comment/ Review Below
What is the Philip Wagenbach's unique identification number?
The Philip Wagenbach has been assigned the NPI (National Provider Identifier) Number 1790797116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Philip Wagenbach's facilities are geographically located?
The facilities of Philip Wagenbach are physically situated at the following location: 275 Route 30 N, Bomoseen, VT, 57329647.
What is Philip Wagenbach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Philip Wagenbach's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Philip Wagenbach receive its 1790797116 assignment?
The Philip Wagenbach was assigned its 1790797116 on 2006-08-13, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Philip Wagenbach most recently updated or revised?
The details related to Philip Wagenbach, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-05.