Michelle R Pellerin in Lake Havasu City - Physician Assistant
Michelle R Pellerin - NPI 1780691816
Michelle R Pellerin is a Physician Assistant in Lake Havasu City, Arizona. Michelle R Pellerin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle R Pellerin is 1780691816. The last update date is 2013-11-07.
Michelle R Pellerin's current location address is 1810 Mesquite Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9284534600 and fax number 9284534606. The mailing address for Michelle R Pellerin is 1810 Mesquite Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle R Pellerin |
|---|---|
| Address | 1810 Mesquite Ave, Lake Havasu City, Arizona |
| Phone Number | 9284534600 |
| Fax Number | 9284534606 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1780691816 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2013-11-07 |
Provider Mailing Address Detail
| Address | 1810 Mesquite Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864035886 |
| Phone Number | 9284534600 |
| Fax Number | 9284534606 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-575 |
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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 |
|---|---|---|---|
| 807321700 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michelle R Pellerin by the Centers for Medicare & Medicaid Services?
The Michelle R Pellerin has been assigned the NPI (National Provider Identifier) 1780691816 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michelle R Pellerin is physically located?
The Michelle R Pellerin is situated at the following address: 1810 Mesquite Ave, Lake Havasu City, AZ 864035886.
What is Michelle R Pellerin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle R Pellerin's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Michelle R Pellerin receive its 1780691816 assignment from the Centers for Medicare & Medicaid Services?
The Michelle R Pellerin was assigned its 1780691816 on 2006-08-02, 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 details related to Michelle R Pellerin most recently updated or revised?
The information pertaining to Michelle R Pellerin, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-07.
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