Patricia A Boudet in Carterville - Physician Assistant
Patricia A Boudet - NPI 1841237120
Patricia A Boudet is a Physician Assistant in Carterville, Illinois. Patricia A Boudet practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patricia A Boudet is 1841237120. The last update date is 2018-03-17.
Patricia A Boudet's current location address is Po Box 577, Carterville, Illinois. You can contact this provider via phone number 6189858221 and fax number 6189854635. The mailing address for Patricia A Boudet is Po Box 577, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Boudet |
|---|---|
| Address | Po Box 577, Carterville, Illinois |
| Phone Number | 6189858221 |
| Fax Number | 6189854635 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841237120 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | Po Box 577 |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629180577 |
| Phone Number | 6189858221 |
| Fax Number | 6189854635 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-000668 |
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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 |
|---|---|---|---|
| 370966854024 | IL | -- | |
| 085-000668 | IL | STATE PA MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patricia A Boudet by the Centers for Medicare & Medicaid Services?
The Patricia A Boudet has been assigned the NPI (National Provider Identifier) 1841237120 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Patricia A Boudet is physically located?
The Patricia A Boudet is physically situated at the following address: Po Box 577, Carterville, IL, 629180577.
What is Patricia A Boudet's area of expertise and its corresponding taxonomy classification?
The Patricia A Boudet'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.
When did the Patricia A Boudet receive its 1841237120?
The Patricia A Boudet was issued its 1841237120 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Patricia A Boudet most recently updated or refreshed?
The details pertaining to the Patricia A Boudet, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-17.