Jill Marie Hietpas in Freedom - Physician Assistant
Jill Marie Hietpas - NPI 1396796660
Jill Marie Hietpas is a Physician Assistant in Freedom, Wisconsin. Jill Marie Hietpas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Marie Hietpas is 1396796660. The last update date is 2023-10-26.
Jill Marie Hietpas's current location address is N2611 Huss Ct, Freedom, Wisconsin. You can contact this provider via phone number 9209152669. The mailing address for Jill Marie Hietpas is N2611 Huss Ct, Freedom, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Marie Hietpas |
|---|---|
| Address | N2611 Huss Ct, Freedom, Wisconsin |
| Phone Number | 9209152669 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1396796660 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2023-10-26 |
Provider Mailing Address Detail
| Address | N2611 Huss Ct |
|---|---|
| City | Freedom |
| State | Wisconsin (WI) |
| Post Code | 541308674 |
| Phone Number | 9209152669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1285023 |
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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 |
|---|---|---|---|
| 32494700 | WI | -- |
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What is the Jill Marie Hietpas's unique identification number?
The Jill Marie Hietpas has been assigned the NPI (National Provider Identifier) Number 1396796660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jill Marie Hietpas's physical address?
The Jill Marie Hietpas is physically located at N2611 Huss Ct, in the city of Freedom, WI, with the postal code 541308674.
What is Jill Marie Hietpas's area of expertise and its corresponding taxonomy classification?
The Jill Marie Hietpas'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 1396796660 to Jill Marie Hietpas?
The Centers for Medicare & Medicaid Services assigned the 1396796660 to Jill Marie Hietpas on 2006-05-12.
When was the Jill Marie Hietpas's information last updated?
The Jill Marie Hietpas's information was last updated on 2023-10-26.