Danny Joe Friday in Beardstown - Physician Assistant

Danny Joe Friday - NPI 1356382261

Danny Joe Friday is a Physician Assistant in Beardstown, Illinois. Danny Joe Friday practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Danny Joe Friday is 1356382261. The last update date is 2007-07-08.

Danny Joe Friday's current location address is 507 Washington St, Beardstown, Illinois. You can contact this provider via phone number 2173232245 and fax number 2173231276. The mailing address for Danny Joe Friday is 507 Washington St, Beardstown, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Danny Joe Friday
Address 507 Washington St, Beardstown, Illinois
Phone Number 2173232245
Fax Number 2173231276
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1356382261
Provider Enumeration Date 2006-06-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 507 Washington St
City Beardstown
State Illinois (IL)
Post Code 626181558
Phone Number 2173232245
Fax Number 2173231276

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209002403 IL STATE LIC NUMBER

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FAQs about Danny Joe Friday

What is the unique 10-digit identification code issued to Danny Joe Friday by the Centers for Medicare & Medicaid Services?

The Danny Joe Friday has been assigned the NPI (National Provider Identifier) 1356382261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Danny Joe Friday's facilities are situated?

The facilities of Danny Joe Friday are physically located at the following address: 507 Washington St, Beardstown, IL, 626181558.

What is Danny Joe Friday's specialized field of practice, and what is the corresponding taxonomy classification code?

The Danny Joe Friday'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 Danny Joe Friday receive the assignment of its 1356382261 from the Centers for Medicare & Medicaid Services?

The Danny Joe Friday was issued its 1356382261 by the Centers for Medicare & Medicaid Services on 2006-06-10.

When was the information regarding Danny Joe Friday most recently updated?

The details pertaining to the Danny Joe Friday, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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