Glenna Peri Ehlig in Lakewood - Physician Assistant
Glenna Peri Ehlig - NPI 1821103318
Glenna Peri Ehlig is a Physician Assistant in Lakewood, Washington. Glenna Peri Ehlig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glenna Peri Ehlig is 1821103318. The last update date is 2009-07-23.
Glenna Peri Ehlig's current location address is 5302 108th Street Ct Sw Apt G5, Lakewood, Washington. You can contact this provider via phone number 2535880961. The mailing address for Glenna Peri Ehlig is 5302 108th Street Ct Sw Apt G5, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenna Peri Ehlig |
|---|---|
| Address | 5302 108th Street Ct Sw Apt G5, Lakewood, Washington |
| Phone Number | 2535880961 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821103318 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2009-07-23 |
Provider Mailing Address Detail
| Address | 5302 108th Street Ct Sw Apt G5 |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984993555 |
| Phone Number | 2535880961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10002879 |
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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 |
|---|---|---|---|
| 1011662 | NCCPA CERTIFICATION | ||
| PA10002879 | WA | STATE OF WASHINGTON HPQAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glenna Peri Ehlig?
The Glenna Peri Ehlig has been issued the NPI (National Provider Identifier) 1821103318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Glenna Peri Ehlig's physical address?
The Glenna Peri Ehlig is physically located at 5302 108Th Street Ct Sw Apt G5, in the city of Lakewood, WA, with the postal code 984993555.
What is Glenna Peri Ehlig's area of expertise and its corresponding taxonomy classification?
The Glenna Peri Ehlig's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Glenna Peri Ehlig receive the assignment of its 1821103318 from the Centers for Medicare & Medicaid Services?
The Glenna Peri Ehlig was issued its 1821103318 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the Glenna Peri Ehlig's details last updated?
The information pertaining to the Glenna Peri Ehlig, including its address, specialty, and other details, was most recently updated on 2009-07-23.