Richard S Seaboch in Peoria - Physician Assistant
Richard S Seaboch - NPI 1043227846
Richard S Seaboch is a Physician Assistant in Peoria, Illinois. Richard S Seaboch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard S Seaboch is 1043227846. The last update date is 2010-08-31.
Richard S Seaboch's current location address is 5405 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096914410 and fax number 3095892830. The mailing address for Richard S Seaboch is 5405 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard S Seaboch |
|---|---|
| Address | 5405 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096914410 |
| Fax Number | 3095892830 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1043227846 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2010-08-31 |
Provider Mailing Address Detail
| Address | 5405 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096914410 |
| Fax Number | 3095892830 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001201 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001201 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard S Seaboch by the Centers for Medicare & Medicaid Services?
The Richard S Seaboch has been assigned the NPI (National Provider Identifier) 1043227846 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard S Seaboch is geographically located?
The Richard S Seaboch is physically situated at the following location: 5405 N Knoxville Ave, Peoria, IL, 61614.
What is Richard S Seaboch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard S Seaboch is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043227846 to Richard S Seaboch?
The Richard S Seaboch received its 1043227846 assignment from the Centers for Medicare & Medicaid Services on 2006-08-02.
When was the Richard S Seaboch's information last updated?
The Richard S Seaboch's information was last updated on 2010-08-31.