Mary C Mcnicholas in Emeryville - Physician Assistant
Mary C Mcnicholas - NPI 1295791960
Mary C Mcnicholas is a Physician Assistant in Emeryville, California. Mary C Mcnicholas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary C Mcnicholas is 1295791960. The last update date is 2008-12-16.
Mary C Mcnicholas's current location address is 2100 Powell St, Emeryville, California. You can contact this provider via phone number 5103502655 and fax number 5108799071. The mailing address for Mary C Mcnicholas is 2100 Powell St, Emeryville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary C Mcnicholas |
|---|---|
| Address | 2100 Powell St, Emeryville, California |
| Phone Number | 5103502655 |
| Fax Number | 5108799071 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1295791960 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2008-12-16 |
Provider Mailing Address Detail
| Address | 2100 Powell St |
|---|---|
| City | Emeryville |
| State | California (CA) |
| Post Code | 946081826 |
| Phone Number | 5103502655 |
| Fax Number | 5108799071 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14376 |
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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 |
|---|---|---|---|
| PA14376 | CA | -- |
Post Comment/ Review Below
What is the Mary C Mcnicholas's unique identification number?
The Mary C Mcnicholas has been assigned the NPI (National Provider Identifier) Number 1295791960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mary C Mcnicholas is physically located?
The Mary C Mcnicholas is physically situated at the following address: 2100 Powell St, Emeryville, CA, 946081826.
What is Mary C Mcnicholas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary C Mcnicholas is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
As of what date were the Mary C Mcnicholas's details last updated?
The information pertaining to the Mary C Mcnicholas, including its address, specialty, and other details, was most recently updated on 2008-12-16.
As of what date were the details related to Mary C Mcnicholas most recently updated or revised?
The information pertaining to Mary C Mcnicholas, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-16.