Phillip R Erthall in Herrin - Physician Assistant

Phillip R Erthall - NPI 1255446886

Phillip R Erthall is a Physician Assistant in Herrin, Illinois. Phillip R Erthall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phillip R Erthall is 1255446886. The last update date is 2007-07-08.

Phillip R Erthall's current location address is 510 Lincoln Drive, Herrin, Illinois. You can contact this provider via phone number 6189976800 and fax number 6189989124. The mailing address for Phillip R Erthall is 510 Lincoln Drive, Herrin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip R Erthall
Address 510 Lincoln Drive, Herrin, Illinois
Phone Number 6189976800
Fax Number 6189989124
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1255446886
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 510 Lincoln Drive
City Herrin
State Illinois (IL)
Post Code 62948
Phone Number 6189976800
Fax Number 6189989124

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
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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FAQs about Phillip R Erthall

What is the unique 10-digit identifier code issued to Phillip R Erthall by the Centers for Medicare & Medicaid Services?

The Phillip R Erthall has been assigned the NPI (National Provider Identifier) 1255446886 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Phillip R Erthall's facilities are geographically located?

The facilities of Phillip R Erthall are physically situated at the following location: 510 Lincoln Drive, Herrin, IL, 62948.

What is Phillip R Erthall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Phillip R Erthall is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When was the Phillip R Erthall's 1255446886 issued?

The Phillip R Erthall's 1255446886 was issued on 2006-08-21.

As of what date were the Phillip R Erthall's details last updated?

The information pertaining to the Phillip R Erthall, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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