Heather Konzelmann in Champaign - Physician Assistant
Heather Konzelmann - NPI 1720066251
Heather Konzelmann is a Physician Assistant in Champaign, Illinois. Heather Konzelmann practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather Konzelmann is 1720066251. The last update date is 2014-12-05.
Heather Konzelmann's current location address is 1801 Windsor Rd, Champaign, Illinois. You can contact this provider via phone number 2173668130. The mailing address for Heather Konzelmann is 1801 Windsor Rd, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Heather Konzelmann |
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Address | 1801 Windsor Rd, Champaign, Illinois |
Phone Number | 2173668130 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1720066251 |
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Provider Enumeration Date | 2006-01-05 |
Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
Address | 1801 Windsor Rd |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618226217 |
Phone Number | 2173668130 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9103440 |
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 |
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Q54584 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Heather Konzelmann by the Centers for Medicare & Medicaid Services?
The Heather Konzelmann has been issued the NPI (National Provider Identifier) 1720066251, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Heather Konzelmann?
The Heather Konzelmann is situated at 1801 Windsor Rd, in the city of Champaign, state of IL, with the zip code 618226217.
What is Heather Konzelmann's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Konzelmann'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 Centers for Medicare & Medicaid Services issue the 1720066251 to Heather Konzelmann?
The Heather Konzelmann received its 1720066251 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the information related to Heather Konzelmann most recently updated or refreshed?
The details pertaining to the Heather Konzelmann, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-05.