Jon Vander Maten in Pierre - Physician Assistant
Jon Vander Maten - NPI 1851335905
Jon Vander Maten is a Physician Assistant in Pierre, South Dakota. Jon Vander Maten practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jon Vander Maten is 1851335905. The last update date is 2008-02-12.
Jon Vander Maten's current location address is 100 Mac Lane, Pierre, South Dakota. You can contact this provider via phone number 6052245901 and fax number 6059459295. The mailing address for Jon Vander Maten is 100 Mac Lane, Pierre, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon Vander Maten |
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Address | 100 Mac Lane, Pierre, South Dakota |
Phone Number | 6052245901 |
Fax Number | 6059459295 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1851335905 |
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Provider Enumeration Date | 2006-06-16 |
Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
Address | 100 Mac Lane |
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City | Pierre |
State | South Dakota (SD) |
Post Code | 575010758 |
Phone Number | 6052245901 |
Fax Number | 6059459295 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 52 |
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 unique identification code assigned to Jon Vander Maten by the Centers for Medicare & Medicaid Services?
The Jon Vander Maten has been issued the NPI (National Provider Identifier) 1851335905. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jon Vander Maten is located?
The Jon Vander Maten is situated at the following address: 100 Mac Lane, Pierre, SD, 575010758.
What is the Jon Vander Maten's specialty and taxonomy code?
The Jon Vander Maten's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1851335905 assigned to Jon Vander Maten?
The Jon Vander Maten was issued its 1851335905 on 2006-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jon Vander Maten most recently updated or revised?
The information pertaining to Jon Vander Maten, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.