Leon Gauthier is a Physician Assistant in Herrin, Illinois. Leon Gauthier practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leon Gauthier is 1033145172. The last update date is 2007-07-09.
Leon Gauthier's current location address is 220 N Park Ave, Herrin, Illinois. You can contact this provider via phone number 6189423344 and fax number 6189425045. The mailing address for Leon Gauthier is 220 N Park Ave, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon Gauthier |
|---|---|
| Address | 220 N Park Ave, Herrin, Illinois |
| Phone Number | 6189423344 |
| Fax Number | 6189425045 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1033145172 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 220 N Park Ave |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629483150 |
| Phone Number | 6189423344 |
| Fax Number | 6189425045 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85000934 |
|
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 |
|---|---|---|---|
| 371359450 | IL | FEDERAL EMPLOYER ID NUMBE | |
| 441379 | IL | HEALTHLINK HMO/PPO PROV # | |
| CB3700 | IL | RAILROAD MEDICARE GROUP | |
| L84852 | IL | UMWA PROVIDER NUMBER | |
| 970023073 | IL | RAILROAD PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leon Gauthier by the Centers for Medicare & Medicaid Services?
The Leon Gauthier has been assigned the NPI (National Provider Identifier) 1033145172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Leon Gauthier?
The Leon Gauthier is physically situated at 220 N Park Ave, in the city of Herrin, state of IL, with the postal code 629483150.
What is Leon Gauthier's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leon Gauthier's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033145172 to Leon Gauthier?
The Centers for Medicare & Medicaid Services assigned the 1033145172 to Leon Gauthier on 2006-06-23.
When was the information pertaining to Leon Gauthier most recently updated or revised?
The details related to Leon Gauthier, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.