Jacob J. Demelle in Green Bay - Physician Assistant
Jacob J. Demelle - NPI 1558522664
Jacob J. Demelle is a Physician Assistant in Green Bay, Wisconsin. Jacob J. Demelle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacob J. Demelle is 1558522664. The last update date is 2022-10-11.
Jacob J. Demelle's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Jacob J. Demelle is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob J. Demelle |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558522664 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2269 |
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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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What is the unique 10-digit identification code issued to Jacob J. Demelle by the Centers for Medicare & Medicaid Services?
The Jacob J. Demelle has been assigned the NPI (National Provider Identifier) 1558522664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jacob J. Demelle is physically located?
The Jacob J. Demelle is situated at the following address: Po Box 19070, Green Bay, WI 543079070.
What is Jacob J. Demelle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob J. Demelle's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Jacob J. Demelle's 1558522664 issued?
The Jacob J. Demelle's 1558522664 was issued on 2008-06-20.
As of what date were the Jacob J. Demelle's details last updated?
The information pertaining to the Jacob J. Demelle, including its address, specialty, and other details, was most recently updated on 2022-10-11.
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