Frank Bevacqua in Canon City - Physician Assistant
Frank Bevacqua - NPI 1679562763
Frank Bevacqua is a Physician Assistant in Canon City, Colorado. Frank Bevacqua practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Frank Bevacqua is 1679562763. The last update date is 2007-07-08.
Frank Bevacqua's current location address is 602 Yale Pl, Canon City, Colorado. You can contact this provider via phone number 7192752301 and fax number 7192757048. The mailing address for Frank Bevacqua is 602 Yale Pl, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frank Bevacqua |
|---|---|
| Address | 602 Yale Pl, Canon City, Colorado |
| Phone Number | 7192752301 |
| Fax Number | 7192757048 |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1679562763 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 602 Yale Pl |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812124611 |
| Phone Number | 7192752301 |
| Fax Number | 7192757048 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 382 |
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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 |
|---|---|---|---|
| 840706945034 | CO | ROCKY MOUNTAIN HEALTH PLA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Frank Bevacqua by the Centers for Medicare & Medicaid Services?
The Frank Bevacqua has been issued the NPI (National Provider Identifier) 1679562763 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Frank Bevacqua located?
The Frank Bevacqua is located at 602 Yale Pl, Canon City, CO 812124611.
What is Frank Bevacqua's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Frank Bevacqua is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679562763 to Frank Bevacqua?
The Centers for Medicare & Medicaid Services assigned the 1679562763 to Frank Bevacqua on 2005-10-20.
As of what date were the Frank Bevacqua's details last updated?
The information pertaining to the Frank Bevacqua, including its address, specialty, and other details, was most recently updated on 2007-07-08.