Carrie L Kopala in Sycamore - Physician Assistant
Carrie L Kopala - NPI 1053371849
Carrie L Kopala is a Physician Assistant in Sycamore, Illinois. Carrie L Kopala practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carrie L Kopala is 1053371849. The last update date is 2021-09-28.
Carrie L Kopala's current location address is 1850 Gateway Dr, Sycamore, Illinois. You can contact this provider via phone number 8157669901 and fax number 8157587298. The mailing address for Carrie L Kopala is 1850 Gateway Dr, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carrie L Kopala |
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Address | 1850 Gateway Dr, Sycamore, Illinois |
Phone Number | 8157669901 |
Fax Number | 8157587298 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1053371849 |
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Provider Enumeration Date | 2006-03-24 |
Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
Address | 1850 Gateway Dr |
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City | Sycamore |
State | Illinois (IL) |
Post Code | 601783192 |
Phone Number | 8157669901 |
Fax Number | 8157587298 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 85002659 |
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 Carrie L Kopala's unique identification number?
The Carrie L Kopala has been assigned the NPI (National Provider Identifier) Number 1053371849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Carrie L Kopala?
The Carrie L Kopala is situated at 1850 Gateway Dr, in the city of Sycamore, state of IL, with the zip code 601783192.
What is the Carrie L Kopala's area of specialization and corresponding taxonomy classification?
The Carrie L Kopala'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 Carrie L Kopala receive its 1053371849 assignment from the Centers for Medicare & Medicaid Services?
The Carrie L Kopala was assigned its 1053371849 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carrie L Kopala, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carrie L Kopala, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-28.
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