Nichole Suzanne Suckow in Effingham - Physician Assistant
Nichole Suzanne Suckow - NPI 1902892318
Nichole Suzanne Suckow is a Physician Assistant in Effingham, Illinois. Nichole Suzanne Suckow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nichole Suzanne Suckow is 1902892318. The last update date is 2011-11-02.
Nichole Suzanne Suckow's current location address is Po Box 784, Effingham, Illinois. You can contact this provider via phone number 2173423337 and fax number 2173423338. The mailing address for Nichole Suzanne Suckow is Po Box 784, Effingham, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichole Suzanne Suckow |
|---|---|
| Address | Po Box 784, Effingham, Illinois |
| Phone Number | 2173423337 |
| Fax Number | 2173423338 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902892318 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | Po Box 784 |
|---|---|
| City | Effingham |
| State | Illinois (IL) |
| Post Code | 624010784 |
| Phone Number | 2173423337 |
| Fax Number | 2173423338 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002146 |
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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 10-digit identification code issued to Nichole Suzanne Suckow by the Centers for Medicare & Medicaid Services?
The Nichole Suzanne Suckow has been assigned the NPI (National Provider Identifier) 1902892318 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 Nichole Suzanne Suckow is located?
The Nichole Suzanne Suckow is situated at the following address: Po Box 784, Effingham, IL, 624010784.
What is the area of specialization for Nichole Suzanne Suckow, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nichole Suzanne Suckow is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902892318 to Nichole Suzanne Suckow?
The Nichole Suzanne Suckow received its 1902892318 assignment from the Centers for Medicare & Medicaid Services on 2005-09-21.
As of what date were the Nichole Suzanne Suckow's details last updated?
The information pertaining to the Nichole Suzanne Suckow, including its address, specialty, and other details, was most recently updated on 2011-11-02.