Ellen B Jankowski in South Portland - Medical
Ellen B Jankowski - NPI 1417963109
Ellen B Jankowski is a Medical in South Portland, Maine. Ellen B Jankowski practices all healthcare services and medical treatments related to Medical. The NPI Number for Ellen B Jankowski is 1417963109. The last update date is 2020-09-26.
Ellen B Jankowski's current location address is 100 Gannett Dr, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Ellen B Jankowski is 100 Gannett Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen B Jankowski |
|---|---|
| Address | 100 Gannett Dr, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417963109 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2020-09-26 |
Provider Mailing Address Detail
| Address | 100 Gannett Dr |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41065900 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10004431 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166563 | WA | L&I PIN | |
| 272170099 | ME | -- | |
| 8324659 | WA | -- | |
| 54807U | WA | REGENCE BLUE SHIELD PIN |
Post Comment/ Review Below
What is the Ellen B Jankowski's unique identification number?
The Ellen B Jankowski has been assigned the NPI (National Provider Identifier) Number 1417963109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ellen B Jankowski's physical address?
The Ellen B Jankowski is physically located at 100 Gannett Dr, in the city of South Portland, ME, with the postal code 41065900.
What is Ellen B Jankowski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ellen B Jankowski's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date was the 1417963109 assigned to Ellen B Jankowski?
The Ellen B Jankowski was issued its 1417963109 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ellen B Jankowski last refreshed?
The information related to the Ellen B Jankowski, including its address, specialty, and other relevant details, was last updated on 2020-09-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY