Brandi Sue Cassaday in East Moline - Physician Assistant

Brandi Sue Cassaday - NPI 1730133356

Brandi Sue Cassaday is a Physician Assistant in East Moline, Illinois. Brandi Sue Cassaday practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brandi Sue Cassaday is 1730133356. The last update date is 2022-08-08.

Brandi Sue Cassaday's current location address is 306 46th Ave, East Moline, Illinois. You can contact this provider via phone number 3097962329 and fax number 3097961146. The mailing address for Brandi Sue Cassaday is 306 46th Ave, East Moline, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandi Sue Cassaday
Address 306 46th Ave, East Moline, Illinois
Phone Number 3097962329
Fax Number 3097961146
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1730133356
Provider Enumeration Date 2006-05-19
Last Updated Date 2022-08-08

Provider Mailing Address Detail

Address 306 46th Ave
City East Moline
State Illinois (IL)
Post Code 612444281
Phone Number 3097962329
Fax Number 3097961146

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No IL
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
99958 IA WELLMARK
P00605023 IL MEDICARE RAILROAD

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FAQs about Brandi Sue Cassaday

What is the unique 10-digit identification code issued to Brandi Sue Cassaday by the Centers for Medicare & Medicaid Services?

The Brandi Sue Cassaday has been assigned the NPI (National Provider Identifier) 1730133356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Brandi Sue Cassaday is located?

The Brandi Sue Cassaday is situated at the following address: 306 46Th Ave, East Moline, IL, 612444281.

What is Brandi Sue Cassaday's area of expertise and its corresponding taxonomy classification?

The Brandi Sue Cassaday'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 Brandi Sue Cassaday receive its 1730133356?

The Brandi Sue Cassaday was issued its 1730133356 on 2006-05-19, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Brandi Sue Cassaday most recently updated or revised?

The information pertaining to Brandi Sue Cassaday, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-08.

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