Courtney Mickelson in Schaumburg - Physician Assistant
Courtney Mickelson - NPI 1578591285
Courtney Mickelson is a Physician Assistant in Schaumburg, Illinois. Courtney Mickelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Courtney Mickelson is 1578591285. The last update date is 2007-07-08.
Courtney Mickelson's current location address is 25 E Schaumburg Rd, Schaumburg, Illinois. You can contact this provider via phone number 8479859390 and fax number 8479856986. The mailing address for Courtney Mickelson is 25 E Schaumburg Rd, Schaumburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Mickelson |
|---|---|
| Address | 25 E Schaumburg Rd, Schaumburg, Illinois |
| Phone Number | 8479859390 |
| Fax Number | 8479856986 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1578591285 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 E Schaumburg Rd |
|---|---|
| City | Schaumburg |
| State | Illinois (IL) |
| Post Code | 6019435500 |
| Phone Number | 8479859390 |
| Fax Number | 8479856986 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-001732 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Courtney Mickelson by the Centers for Medicare & Medicaid Services?
The Courtney Mickelson has been assigned the NPI (National Provider Identifier) 1578591285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Courtney Mickelson's facilities are geographically located?
The facilities of Courtney Mickelson are physically situated at the following location: 25 E Schaumburg Rd, Schaumburg, IL, 6019435500.
What is Courtney Mickelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courtney Mickelson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Courtney Mickelson receive its 1578591285 assignment from the Centers for Medicare & Medicaid Services?
The Courtney Mickelson was assigned its 1578591285 by the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date was the information pertaining to Courtney Mickelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Courtney Mickelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.