Mike L Mcbride in Fort Wayne - Physician Assistant
Mike L Mcbride - NPI 1316983752
Mike L Mcbride is a Physician Assistant in Fort Wayne, Indiana. Mike L Mcbride practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mike L Mcbride is 1316983752. The last update date is 2013-05-20.
Mike L Mcbride's current location address is 3640 New Vision Drive, Fort Wayne, Indiana. You can contact this provider via phone number 2604824440 and fax number 2604824442. The mailing address for Mike L Mcbride is 3640 New Vision Drive, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike L Mcbride |
|---|---|
| Address | 3640 New Vision Drive, Fort Wayne, Indiana |
| Phone Number | 2604824440 |
| Fax Number | 2604824442 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316983752 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2013-05-20 |
Provider Mailing Address Detail
| Address | 3640 New Vision Drive |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451717 |
| Phone Number | 2604824440 |
| Fax Number | 2604824442 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000037 |
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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 Mike L Mcbride by the Centers for Medicare & Medicaid Services?
The Mike L Mcbride has been assigned the NPI (National Provider Identifier) 1316983752 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mike L Mcbride is physically located?
The Mike L Mcbride is situated at the following address: 3640 New Vision Drive, Fort Wayne, IN 468451717.
What is Mike L Mcbride's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mike L Mcbride's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Mike L Mcbride receive the assignment of its 1316983752 from the Centers for Medicare & Medicaid Services?
The Mike L Mcbride was issued its 1316983752 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the details related to Mike L Mcbride most recently updated or revised?
The information pertaining to Mike L Mcbride, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-20.
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