Justin Matthew Fahey in Ann Arbor - Physician Assistant
Justin Matthew Fahey - NPI 1265697395
Justin Matthew Fahey is a Physician Assistant in Ann Arbor, Michigan. Justin Matthew Fahey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Justin Matthew Fahey is 1265697395. The last update date is 2008-09-24.
Justin Matthew Fahey's current location address is 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7349365738. The mailing address for Justin Matthew Fahey is 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Matthew Fahey |
|---|---|
| Address | 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan |
| Phone Number | 7349365738 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265697395 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 24 Frank Lloyd Wright Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481059755 |
| Phone Number | 7349365738 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601005211 |
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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 identifier code issued to Justin Matthew Fahey by the Centers for Medicare & Medicaid Services?
The Justin Matthew Fahey has been assigned the NPI (National Provider Identifier) 1265697395. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Justin Matthew Fahey?
The Justin Matthew Fahey is physically situated at 24 Frank Lloyd Wright Dr, in the city of Ann Arbor, state of MI, with the postal code 481059755.
What is the Justin Matthew Fahey's area of specialization and corresponding taxonomy classification?
The Justin Matthew Fahey's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Justin Matthew Fahey receive the assignment of its 1265697395 from the Centers for Medicare & Medicaid Services?
The Justin Matthew Fahey was issued its 1265697395 by the Centers for Medicare & Medicaid Services on 2008-07-29.
As of what date was the information regarding Justin Matthew Fahey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Justin Matthew Fahey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-24.
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