Vincent Fibelstad in Lewiston - Physician Assistant
Vincent Fibelstad - NPI 1184762825
Vincent Fibelstad is a Physician Assistant in Lewiston, Idaho. Vincent Fibelstad practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Vincent Fibelstad is 1184762825. The last update date is 2007-07-09.
Vincent Fibelstad's current location address is 415 6th St, Lewiston, Idaho. You can contact this provider via phone number 2087432511 and fax number 2087995554. The mailing address for Vincent Fibelstad is 415 6th St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent Fibelstad |
|---|---|
| Address | 415 6th St, Lewiston, Idaho |
| Phone Number | 2087432511 |
| Fax Number | 2087995554 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184762825 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 415 6th St |
|---|---|
| City | Lewiston |
| State | Idaho (ID) |
| Post Code | 835012431 |
| Phone Number | 2087432511 |
| Fax Number | 2087995554 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-02 |
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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 |
|---|---|---|---|
| HBNA1 | ID | IDAHO BLUE CROSS | |
| 10017690 | ID | REGENCE OF IDAHO | |
| 8118705 | WA | -- | |
| 10017689 | ID | REGENCE OF ID URGENT CARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Vincent Fibelstad by the Centers for Medicare & Medicaid Services?
The Vincent Fibelstad has been assigned the NPI (National Provider Identifier) 1184762825 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 Vincent Fibelstad's facilities are situated?
The facilities of Vincent Fibelstad are physically located at the following address: 415 6Th St, Lewiston, ID, 835012431.
What is Vincent Fibelstad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vincent Fibelstad 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 1184762825 to Vincent Fibelstad?
The Centers for Medicare & Medicaid Services assigned the 1184762825 to Vincent Fibelstad on 2007-02-02.
When was the information regarding Vincent Fibelstad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vincent Fibelstad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.