Jason Charles Xynellis in Providence - Medical

Jason Charles Xynellis - NPI 1952501942

Jason Charles Xynellis is a Medical in Providence, Rhode Island. Jason Charles Xynellis practices all healthcare services and medical treatments related to Medical. The NPI Number for Jason Charles Xynellis is 1952501942. The last update date is 2012-11-30.

Jason Charles Xynellis's current location address is 1195 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4013318555. The mailing address for Jason Charles Xynellis is 1195 N Main St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Charles Xynellis
Address 1195 N Main St, Providence, Rhode Island
Phone Number 4013318555
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1952501942
Provider Enumeration Date 2007-07-19
Last Updated Date 2012-11-30

Provider Mailing Address Detail

Address 1195 N Main St
City Providence
State Rhode Island (RI)
Post Code 29041824
Phone Number 4013318555
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA00501
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
21338 RI MEDICARE PTAN
JX84601 RI --

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FAQs about Jason Charles Xynellis

What is the Jason Charles Xynellis's 1952501942?

The Jason Charles Xynellis's NPI (National Provider Identifier) Number is 1952501942. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jason Charles Xynellis is physically located?

The Jason Charles Xynellis is physically situated at the following address: 1195 N Main St, Providence, RI, 29041824.

What is the area of specialization for Jason Charles Xynellis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason Charles Xynellis is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

When did Jason Charles Xynellis receive its 1952501942 assignment?

The Jason Charles Xynellis was assigned its 1952501942 on 2007-07-19, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jason Charles Xynellis most recently updated or revised?

The information pertaining to Jason Charles Xynellis, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-30.

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