Dylan Hedrick in Rock Island - Physician Assistant

Dylan Hedrick - NPI 1447226048

Dylan Hedrick is a Physician Assistant in Rock Island, Illinois. Dylan Hedrick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dylan Hedrick is 1447226048. The last update date is 2008-02-28.

Dylan Hedrick's current location address is 2701 17th St, Rock Island, Illinois. You can contact this provider via phone number 3097793048. The mailing address for Dylan Hedrick is 2701 17th St, Rock Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dylan Hedrick
Address 2701 17th St, Rock Island, Illinois
Phone Number 3097793048
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1447226048
Provider Enumeration Date 2006-02-24
Last Updated Date 2008-02-28

Provider Mailing Address Detail

Address 2701 17th St
City Rock Island
State Illinois (IL)
Post Code 612015351
Phone Number 3097793048
Fax Number

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
95201 BCWELLMARK WEST
IL0181 JOHN DEERE
362739299001 TRICARE WEST
94217 BCWELLMARK 7TH
362739299014 TRICARE 7TH

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FAQs about Dylan Hedrick

What is the unique 10-digit identification code issued to Dylan Hedrick by the Centers for Medicare & Medicaid Services?

The Dylan Hedrick has been assigned the NPI (National Provider Identifier) 1447226048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Dylan Hedrick?

The Dylan Hedrick is situated at 2701 17Th St, in the city of Rock Island, state of IL, with the zip code 612015351.

What is the Dylan Hedrick's specialty and taxonomy code?

The Dylan Hedrick's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447226048 to Dylan Hedrick?

The Centers for Medicare & Medicaid Services originally issued the 1447226048 to Dylan Hedrick on 2006-02-24.

As of what date were the Dylan Hedrick's details last updated?

The information pertaining to the Dylan Hedrick, including its address, specialty, and other details, was most recently updated on 2008-02-28.

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