Gabriel A Martin in Carbondale - Physician Assistant
Gabriel A Martin - NPI 1376680462
Gabriel A Martin is a Physician Assistant in Carbondale, Illinois. Gabriel A Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gabriel A Martin is 1376680462. The last update date is 2023-10-17.
Gabriel A Martin's current location address is Po Box 3988, Carbondale, Illinois. You can contact this provider via phone number 6184575200. The mailing address for Gabriel A Martin is Po Box 3988, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel A Martin |
|---|---|
| Address | Po Box 3988, Carbondale, Illinois |
| Phone Number | 6184575200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376680462 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | Po Box 3988 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629023988 |
| Phone Number | 6184575200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002604 |
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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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What is the unique identification code assigned to Gabriel A Martin by the Centers for Medicare & Medicaid Services?
The Gabriel A Martin has been issued the NPI (National Provider Identifier) 1376680462. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gabriel A Martin's facilities are geographically located?
The facilities of Gabriel A Martin are physically situated at the following location: Po Box 3988, Carbondale, IL, 629023988.
What is Gabriel A Martin's area of expertise and its corresponding taxonomy classification?
The Gabriel A Martin's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376680462 to Gabriel A Martin?
The Centers for Medicare & Medicaid Services originally issued the 1376680462 to Gabriel A Martin on 2007-01-30.
When was the Gabriel A Martin's information last updated?
The Gabriel A Martin's information was last updated on 2023-10-17.
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