Everett L Carroll in Tanana - Physician Assistant
Everett L Carroll - NPI 1316989981
Everett L Carroll is a Physician Assistant in Tanana, Alaska. Everett L Carroll practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Everett L Carroll is 1316989981. The last update date is 2013-07-31.
Everett L Carroll's current location address is Po Box 77150, Tanana, Alaska. You can contact this provider via phone number 9073661016. The mailing address for Everett L Carroll is Po Box 77150, Tanana, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Everett L Carroll |
|---|---|
| Address | Po Box 77150, Tanana, Alaska |
| Phone Number | 9073661016 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APA-C |
NPI Number Detail
| NPI Number | 1316989981 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2013-07-31 |
Provider Mailing Address Detail
| Address | Po Box 77150 |
|---|---|
| City | Tanana |
| State | Alaska (AK) |
| Post Code | 997770150 |
| Phone Number | 9073661016 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1122 |
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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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What is the unique 10-digit identifier code assigned to Everett L Carroll by the Centers for Medicare & Medicaid Services?
The Everett L Carroll has been issued the NPI (National Provider Identifier) 1316989981 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Everett L Carroll's physical address?
The Everett L Carroll is physically located at Po Box 77150, in the city of Tanana, AK, with the postal code 997770150.
What is Everett L Carroll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Everett L Carroll's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316989981 to Everett L Carroll?
The Everett L Carroll received its 1316989981 assignment from the Centers for Medicare & Medicaid Services on 2006-06-11.
When was the information related to Everett L Carroll most recently updated or refreshed?
The details pertaining to the Everett L Carroll, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-31.
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