Julie B Crocker in Fairfax - Physician Assistant
Julie B Crocker - NPI 1346235843
Julie B Crocker is a Physician Assistant in Fairfax, Virginia. Julie B Crocker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Julie B Crocker is 1346235843. The last update date is 2023-01-12.
Julie B Crocker's current location address is 3620 Joseph Siewick Dr Ste 100, Fairfax, Virginia. You can contact this provider via phone number 5408926217. The mailing address for Julie B Crocker is 3620 Joseph Siewick Dr Ste 100, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie B Crocker |
|---|---|
| Address | 3620 Joseph Siewick Dr Ste 100, Fairfax, Virginia |
| Phone Number | 5408926217 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1346235843 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2023-01-12 |
Provider Mailing Address Detail
| Address | 3620 Joseph Siewick Dr Ste 100 |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220331757 |
| Phone Number | 5408926217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110001036 |
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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 |
|---|---|---|---|
| 1346235843 | VA | UMWA | |
| 371194700 | VA | BLACK LUNG | |
| 1346235843 | VA | CCC VIRGINIA PREMIER | |
| 1346235843 | VA | ANTHEM MEDIGAP | |
| P00359240 | VA | RAILROAD MEDICARE | |
| 1346235843 | VA | SOUTHERN HEALTH/CARENET/CARELI | |
| 1346235843 | VA | HUMANA MEDICARE | |
| 1346235843 | VA | INTOTAL | |
| 1346235843 | VA | OPTIMA HEALTH PLAN | |
| 1346235843 | VA | MEDICAID QMB |
Post Comment/ Review Below
What is the Julie B Crocker's 1346235843?
The Julie B Crocker's NPI (National Provider Identifier) Number is 1346235843. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Julie B Crocker?
The Julie B Crocker is physically situated at 3620 Joseph Siewick Dr Ste 100, in the city of Fairfax, state of VA, with the postal code 220331757.
What is Julie B Crocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Julie B Crocker is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346235843 to Julie B Crocker?
The Centers for Medicare & Medicaid Services assigned the 1346235843 to Julie B Crocker on 2005-09-12.
As of what date were the Julie B Crocker's details last updated?
The information pertaining to the Julie B Crocker, including its address, specialty, and other details, was most recently updated on 2023-01-12.