Nic A Hale is a Physician Assistant in Pocatello, Idaho. Nic A Hale practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nic A Hale is 1841487840. The last update date is 2007-10-03.
Nic A Hale's current location address is 1399 Stoneridge Rd, Pocatello, Idaho. You can contact this provider via phone number 2084787422. The mailing address for Nic A Hale is 1399 Stoneridge Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nic A Hale |
|---|---|
| Address | 1399 Stoneridge Rd, Pocatello, Idaho |
| Phone Number | 2084787422 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841487840 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 1399 Stoneridge Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 83201 |
| Phone Number | 2084787422 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-686 |
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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 |
|---|---|---|---|
| PA-686 | ID | STATE LICENSE NUMBER |
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What is the unique 10-digit identifier code issued to Nic A Hale by the Centers for Medicare & Medicaid Services?
The Nic A Hale has been assigned the NPI (National Provider Identifier) 1841487840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Nic A Hale's physical address?
The Nic A Hale is physically located at 1399 Stoneridge Rd, in the city of Pocatello, ID, with the postal code 83201.
What is the Nic A Hale's specialty and taxonomy code?
The Nic A Hale's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Nic A Hale receive its 1841487840 assignment from the Centers for Medicare & Medicaid Services?
The Nic A Hale was assigned its 1841487840 by the Centers for Medicare & Medicaid Services on 2007-10-03.
When was the Nic A Hale's information last updated?
The Nic A Hale's information was last updated on 2007-10-03.