Eric T Lenoir in Jackson - Physician Assistant
Eric T Lenoir - NPI 1386639359
Eric T Lenoir is a Physician Assistant in Jackson, Mississippi. Eric T Lenoir practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Eric T Lenoir is 1386639359. The last update date is 2019-02-26.
Eric T Lenoir's current location address is Po Box 23666, Jackson, Mississippi. You can contact this provider via phone number 6012004749 and fax number 6012005929. The mailing address for Eric T Lenoir is Po Box 23666, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric T Lenoir |
|---|---|
| Address | Po Box 23666, Jackson, Mississippi |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1386639359 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | Po Box 23666 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392253666 |
| Phone Number | 6012004749 |
| Fax Number | 6012005929 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00149 |
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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 |
|---|---|---|---|
| 4378509 | MS | -- | |
| PAT9103451 | FL | TEMPORARY LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eric T Lenoir?
The Eric T Lenoir has been issued the NPI (National Provider Identifier) 1386639359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Eric T Lenoir's physical address?
The Eric T Lenoir is physically located at Po Box 23666, in the city of Jackson, MS, with the postal code 392253666.
What is Eric T Lenoir's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric T Lenoir's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386639359 to Eric T Lenoir?
The Centers for Medicare & Medicaid Services assigned the 1386639359 to Eric T Lenoir on 2005-09-15.
As of what date were the details related to Eric T Lenoir most recently updated or revised?
The information pertaining to Eric T Lenoir, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-26.