Sally A Vespa in Springfield - Physician Assistant

Sally A Vespa - NPI 1437247996

Sally A Vespa is a Physician Assistant in Springfield, Illinois. Sally A Vespa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sally A Vespa is 1437247996. The last update date is 2020-09-01.

Sally A Vespa's current location address is 1301 S Koke Mill Rd, Springfield, Illinois. You can contact this provider via phone number 2175479100 and fax number 2175479236. The mailing address for Sally A Vespa is 1301 S Koke Mill Rd, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally A Vespa
Address 1301 S Koke Mill Rd, Springfield, Illinois
Phone Number 2175479100
Fax Number 2175479236
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1437247996
Provider Enumeration Date 2006-10-10
Last Updated Date 2020-09-01

Provider Mailing Address Detail

Address 1301 S Koke Mill Rd
City Springfield
State Illinois (IL)
Post Code 627119252
Phone Number 2175479100
Fax Number 2175479236

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 085-000888
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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FAQs about Sally A Vespa

What is the unique provider identifier assigned to Sally A Vespa?

The Sally A Vespa has been issued the NPI (National Provider Identifier) 1437247996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Sally A Vespa is physically located?

The Sally A Vespa is situated at the following address: 1301 S Koke Mill Rd, Springfield, IL 627119252.

What is Sally A Vespa'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 Sally A Vespa is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did Sally A Vespa receive its 1437247996 assignment?

The Sally A Vespa was assigned its 1437247996 on 2006-10-10, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Sally A Vespa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sally A Vespa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-01.

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