Michele L Roberts in Poplar Grove - Physician Assistant
Michele L Roberts - NPI 1376517722
Michele L Roberts is a Physician Assistant in Poplar Grove, Illinois. Michele L Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michele L Roberts is 1376517722. The last update date is 2017-05-19.
Michele L Roberts's current location address is 13539 Il Route 76, Poplar Grove, Illinois. You can contact this provider via phone number 8157650147 and fax number 8157650427. The mailing address for Michele L Roberts is 13539 Il Route 76, Poplar Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele L Roberts |
|---|---|
| Address | 13539 Il Route 76, Poplar Grove, Illinois |
| Phone Number | 8157650147 |
| Fax Number | 8157650427 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376517722 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2017-05-19 |
Provider Mailing Address Detail
| Address | 13539 Il Route 76 |
|---|---|
| City | Poplar Grove |
| State | Illinois (IL) |
| Post Code | 610658832 |
| Phone Number | 8157650147 |
| Fax Number | 8157650427 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8500878 |
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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 identifier code issued to Michele L Roberts by the Centers for Medicare & Medicaid Services?
The Michele L Roberts has been assigned the NPI (National Provider Identifier) 1376517722 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Michele L Roberts located?
The Michele L Roberts is located at 13539 Il Route 76, Poplar Grove, IL 610658832.
What is the Michele L Roberts's area of specialization and corresponding taxonomy classification?
The Michele L Roberts's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Michele L Roberts receive the assignment of its 1376517722 from the Centers for Medicare & Medicaid Services?
The Michele L Roberts was issued its 1376517722 by the Centers for Medicare & Medicaid Services on 2006-02-14.
When was the information regarding Michele L Roberts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michele L Roberts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-05-19.