Erwin Edward Fender in Clifton Forge - Physician Assistant
Erwin Edward Fender - NPI 1760475107
Erwin Edward Fender is a Physician Assistant in Clifton Forge, Virginia. Erwin Edward Fender practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Erwin Edward Fender is 1760475107. The last update date is 2016-05-10.
Erwin Edward Fender's current location address is 209 Glen Haven Dr, Clifton Forge, Virginia. You can contact this provider via phone number 5408624475 and fax number 5408624475. The mailing address for Erwin Edward Fender is 209 Glen Haven Dr, Clifton Forge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erwin Edward Fender |
|---|---|
| Address | 209 Glen Haven Dr, Clifton Forge, Virginia |
| Phone Number | 5408624475 |
| Fax Number | 5408624475 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760475107 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2016-05-10 |
Provider Mailing Address Detail
| Address | 209 Glen Haven Dr |
|---|---|
| City | Clifton Forge |
| State | Virginia (VA) |
| Post Code | 244223527 |
| Phone Number | 5408624475 |
| Fax Number | 5408624475 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110000075 |
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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 |
|---|---|---|---|
| 970011149 | VA | RAILROAD MEDICARE | |
| 1538982 | VA | UMWA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Erwin Edward Fender?
The Erwin Edward Fender has been issued the NPI (National Provider Identifier) 1760475107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Erwin Edward Fender's physical address?
The Erwin Edward Fender is physically located at 209 Glen Haven Dr, in the city of Clifton Forge, VA, with the postal code 244223527.
What is the Erwin Edward Fender's area of specialization and corresponding taxonomy classification?
The Erwin Edward Fender's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Erwin Edward Fender receive the assignment of its 1760475107 from the Centers for Medicare & Medicaid Services?
The Erwin Edward Fender was issued its 1760475107 by the Centers for Medicare & Medicaid Services on 2005-08-30.
When was the information pertaining to Erwin Edward Fender most recently updated or revised?
The details related to Erwin Edward Fender, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-10.
NPI Number: 1881695104
Address: 3841 Green Hills Village Dr Ste 200, Nashville, TN