Shawnna Sopp-Reilly in Campbell - Physician Assistant
Shawnna Sopp-Reilly - NPI 1124158712
Shawnna Sopp-Reilly is a Physician Assistant in Campbell, California. Shawnna Sopp-Reilly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shawnna Sopp-Reilly is 1124158712. The last update date is 2016-03-16.
Shawnna Sopp-Reilly's current location address is 476 E Campbell Ave, Campbell, California. You can contact this provider via phone number 4083781888. The mailing address for Shawnna Sopp-Reilly is 476 E Campbell Ave, Campbell, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawnna Sopp-Reilly |
|---|---|
| Address | 476 E Campbell Ave, Campbell, California |
| Phone Number | 4083781888 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124158712 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
| Address | 476 E Campbell Ave |
|---|---|
| City | Campbell |
| State | California (CA) |
| Post Code | 950082142 |
| Phone Number | 4083781888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19034 |
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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 identification code assigned to Shawnna Sopp-Reilly by the Centers for Medicare & Medicaid Services?
The Shawnna Sopp-Reilly has been issued the NPI (National Provider Identifier) 1124158712, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shawnna Sopp-Reilly's physical address?
The Shawnna Sopp-Reilly is physically located at 476 E Campbell Ave, in the city of Campbell, CA, with the postal code 950082142.
What is Shawnna Sopp-Reilly's area of expertise and its corresponding taxonomy classification?
The Shawnna Sopp-Reilly'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 Shawnna Sopp-Reilly receive its 1124158712 assignment from the Centers for Medicare & Medicaid Services?
The Shawnna Sopp-Reilly was assigned its 1124158712 on 2007-03-06, 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 Shawnna Sopp-Reilly's details last updated?
The information pertaining to the Shawnna Sopp-Reilly, including its address, specialty, and other details, was most recently updated on 2016-03-16.