Shannan Van Houten in Escalon - Physician Assistant
Shannan Van Houten - NPI 1740409168
Shannan Van Houten is a Physician Assistant in Escalon, California. Shannan Van Houten practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannan Van Houten is 1740409168. The last update date is 2012-11-18.
Shannan Van Houten's current location address is Po Box 575, Escalon, California. You can contact this provider via phone number 2096812870 and fax number 2094687042. The mailing address for Shannan Van Houten is Po Box 575, Escalon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannan Van Houten |
|---|---|
| Address | Po Box 575, Escalon, California |
| Phone Number | 2096812870 |
| Fax Number | 2094687042 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1740409168 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2012-11-18 |
Provider Mailing Address Detail
| Address | Po Box 575 |
|---|---|
| City | Escalon |
| State | California (CA) |
| Post Code | 953200575 |
| Phone Number | 2096812870 |
| Fax Number | 2094687042 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA21438 |
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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 |
|---|---|---|---|
| PA21438 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannan Van Houten by the Centers for Medicare & Medicaid Services?
The Shannan Van Houten has been assigned the NPI (National Provider Identifier) 1740409168 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shannan Van Houten's facilities are situated?
The facilities of Shannan Van Houten are physically located at the following address: Po Box 575, Escalon, CA, 953200575.
What is Shannan Van Houten's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannan Van Houten is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740409168 to Shannan Van Houten?
The Centers for Medicare & Medicaid Services assigned the 1740409168 to Shannan Van Houten on 2007-04-24.
As of what date was the information pertaining to Shannan Van Houten, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannan Van Houten, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-18.
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