Ellen Mary Bando in Bradford - Physician Assistant
Ellen Mary Bando - NPI 1699765057
Ellen Mary Bando is a Physician Assistant in Bradford, Vermont. Ellen Mary Bando practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ellen Mary Bando is 1699765057. The last update date is 2021-12-08.
Ellen Mary Bando's current location address is 331 Upper Plain, Bradford, Vermont. You can contact this provider via phone number 8022224722 and fax number 8022224709. The mailing address for Ellen Mary Bando is 331 Upper Plain, Bradford, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Mary Bando |
|---|---|
| Address | 331 Upper Plain, Bradford, Vermont |
| Phone Number | 8022224722 |
| Fax Number | 8022224709 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1699765057 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 331 Upper Plain |
|---|---|
| City | Bradford |
| State | Vermont (VT) |
| Post Code | 5033 |
| Phone Number | 8022224722 |
| Fax Number | 8022224709 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 055-0030836 |
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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 |
|---|---|---|---|
| 9000244 | VT | -- | |
| 518160 | AZ | -- | |
| 30334002 | NH | -- |
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What is the unique 10-digit identifier code assigned to Ellen Mary Bando by the Centers for Medicare & Medicaid Services?
The Ellen Mary Bando has been issued the NPI (National Provider Identifier) 1699765057 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ellen Mary Bando's physical address?
The Ellen Mary Bando is physically located at 331 Upper Plain, in the city of Bradford, VT, with the postal code 5033.
What is Ellen Mary Bando's area of expertise and its corresponding taxonomy classification?
The Ellen Mary Bando's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1699765057 to Ellen Mary Bando?
The Centers for Medicare & Medicaid Services assigned the 1699765057 to Ellen Mary Bando on 2005-10-26.
When was the Ellen Mary Bando's information last updated?
The Ellen Mary Bando's information was last updated on 2021-12-08.
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