Brenda Jo Wharton in Grand Rapids - Medical
Brenda Jo Wharton - NPI 1093815144
Brenda Jo Wharton is a Medical in Grand Rapids, Michigan. Brenda Jo Wharton practices all healthcare services and medical treatments related to Medical. The NPI Number for Brenda Jo Wharton is 1093815144. The last update date is 2023-03-20.
Brenda Jo Wharton's current location address is 25 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164594171 and fax number 6164590044. The mailing address for Brenda Jo Wharton is 25 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Jo Wharton |
|---|---|
| Address | 25 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6164594171 |
| Fax Number | 6164590044 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093815144 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2023-03-20 |
Provider Mailing Address Detail
| Address | 25 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032515 |
| Phone Number | 6164594171 |
| Fax Number | 6164590044 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004126 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 382285194 | MI | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Jo Wharton by the Centers for Medicare & Medicaid Services?
The Brenda Jo Wharton has been assigned the NPI (National Provider Identifier) 1093815144. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brenda Jo Wharton located?
The Brenda Jo Wharton is located at 25 Michigan St Ne, Grand Rapids, MI 495032515.
What is the area of specialization for Brenda Jo Wharton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brenda Jo Wharton is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093815144 to Brenda Jo Wharton?
The Centers for Medicare & Medicaid Services originally issued the 1093815144 to Brenda Jo Wharton on 2006-09-25.
As of what date were the Brenda Jo Wharton's details last updated?
The information pertaining to the Brenda Jo Wharton, including its address, specialty, and other details, was most recently updated on 2023-03-20.
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