Jean S Hollis is a Physician Assistant in Ogden, Utah. Jean S Hollis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jean S Hollis is 1740394972. The last update date is 2008-07-22.
Jean S Hollis's current location address is 425 E 5350 S, Ogden, Utah. You can contact this provider via phone number 8014758600 and fax number 8017711330. The mailing address for Jean S Hollis is 425 E 5350 S, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jean S Hollis |
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Address | 425 E 5350 S, Ogden, Utah |
Phone Number | 8014758600 |
Fax Number | 8017711330 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1740394972 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
Address | 425 E 5350 S |
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City | Ogden |
State | Utah (UT) |
Post Code | 844056946 |
Phone Number | 8014758600 |
Fax Number | 8017711330 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA10003282 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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P00474004 | UT | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jean S Hollis by the Centers for Medicare & Medicaid Services?
The Jean S Hollis has been issued the NPI (National Provider Identifier) 1740394972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jean S Hollis?
The Jean S Hollis is physically situated at 425 E 5350 S, in the city of Ogden, state of UT, with the postal code 844056946.
What is Jean S Hollis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jean S Hollis 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 originally issue the 1740394972 to Jean S Hollis?
The Centers for Medicare & Medicaid Services originally issued the 1740394972 to Jean S Hollis on 2006-08-17.
As of what date were the details related to Jean S Hollis most recently updated or revised?
The information pertaining to Jean S Hollis, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-22.
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