Carolyn M Conaway in Morris - Physician Assistant
Carolyn M Conaway - NPI 1306857511
Carolyn M Conaway is a Physician Assistant in Morris, Illinois. Carolyn M Conaway practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carolyn M Conaway is 1306857511. The last update date is 2023-03-07.
Carolyn M Conaway's current location address is 1051 W Us Route 6, Morris, Illinois. You can contact this provider via phone number 8159424875 and fax number 8159425046. The mailing address for Carolyn M Conaway is 1051 W Us Route 6, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn M Conaway |
|---|---|
| Address | 1051 W Us Route 6, Morris, Illinois |
| Phone Number | 8159424875 |
| Fax Number | 8159425046 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1306857511 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1051 W Us Route 6 |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604503349 |
| Phone Number | 8159424875 |
| Fax Number | 8159425046 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04919 |
|
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 |
|---|---|---|---|
| 85003271 | IL | IL STATE LICENSE | |
| 85003271 | IL | IL PA LICENSE | |
| PA04919 | TX | STATE LICENSE |
Post Comment/ Review Below
What is the Carolyn M Conaway's 1306857511?
The Carolyn M Conaway's NPI (National Provider Identifier) Number is 1306857511. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carolyn M Conaway's facilities are situated?
The facilities of Carolyn M Conaway are physically located at the following address: 1051 W Us Route 6, Morris, IL, 604503349.
What is the Carolyn M Conaway's specialty and taxonomy code?
The Carolyn M Conaway's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Carolyn M Conaway receive its 1306857511 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn M Conaway was assigned its 1306857511 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information regarding Carolyn M Conaway, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carolyn M Conaway, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.