Larry L Fitzwater in Philippi - Physician Assistant
Larry L Fitzwater - NPI 1528116662
Larry L Fitzwater is a Physician Assistant in Philippi, . Larry L Fitzwater practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry L Fitzwater is 1528116662. The last update date is 2007-07-08.
Larry L Fitzwater's current location address is #1 Healthcare Drive, Philippi, . You can contact this provider via phone number 3044571760 and fax number 3044571516. The mailing address for Larry L Fitzwater is #1 Healthcare Drive, Philippi, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry L Fitzwater |
|---|---|
| Address | #1 Healthcare Drive, Philippi, |
| Phone Number | 3044571760 |
| Fax Number | 3044571516 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1528116662 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | #1 Healthcare Drive |
|---|---|
| City | Philippi |
| State | (WV) |
| Post Code | 26416 |
| Phone Number | 3044571760 |
| Fax Number | 3044571516 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 318 |
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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 |
|---|---|---|---|
| 318 | WV | LICENSE |
Post Comment/ Review Below
What is the Larry L Fitzwater's 1528116662?
The Larry L Fitzwater's NPI (National Provider Identifier) Number is 1528116662. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry L Fitzwater's facilities are situated?
The facilities of Larry L Fitzwater are physically located at the following address: #1 Healthcare Drive, Philippi, WV, 26416.
What is Larry L Fitzwater's area of expertise and its corresponding taxonomy classification?
The Larry L Fitzwater'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 Larry L Fitzwater receive its 1528116662 assignment from the Centers for Medicare & Medicaid Services?
The Larry L Fitzwater was assigned its 1528116662 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Larry L Fitzwater's details last updated?
The information pertaining to the Larry L Fitzwater, including its address, specialty, and other details, was most recently updated on 2007-07-08.