Shane Martin Wible in Fishkill - Physician Assistant

Shane Martin Wible - NPI 1013199330

Shane Martin Wible is a Physician Assistant in Fishkill, New York. Shane Martin Wible practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shane Martin Wible is 1013199330. The last update date is 2013-07-24.

Shane Martin Wible's current location address is 60 Merritt Blvd, Fishkill, New York. You can contact this provider via phone number 8459055090. The mailing address for Shane Martin Wible is 60 Merritt Blvd, Fishkill, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane Martin Wible
Address 60 Merritt Blvd, Fishkill, New York
Phone Number 8459055090
Fax Number
Sole Proprietor N
Credentials MPAS, PA-C

NPI Number Detail

NPI Number 1013199330
Provider Enumeration Date 2007-11-28
Last Updated Date 2013-07-24

Provider Mailing Address Detail

Address 60 Merritt Blvd
City Fishkill
State New York (NY)
Post Code 125242990
Phone Number 8459055090
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 6792106-1206
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 Shane Martin Wible

What is the unique 10-digit identification code issued to Shane Martin Wible by the Centers for Medicare & Medicaid Services?

The Shane Martin Wible has been assigned the NPI (National Provider Identifier) 1013199330 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 Shane Martin Wible is physically located?

The Shane Martin Wible is situated at the following address: 60 Merritt Blvd, Fishkill, NY 125242990.

What is the Shane Martin Wible's specialty and taxonomy code?

The Shane Martin Wible's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013199330 to Shane Martin Wible?

The Centers for Medicare & Medicaid Services originally issued the 1013199330 to Shane Martin Wible on 2007-11-28.

As of what date were the details related to Shane Martin Wible most recently updated or revised?

The information pertaining to Shane Martin Wible, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-24.

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