Theresa Lynn Crowder in Milford - Physician Assistant
Theresa Lynn Crowder - NPI 1619961737
Theresa Lynn Crowder is a Physician Assistant in Milford, Illinois. Theresa Lynn Crowder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theresa Lynn Crowder is 1619961737. The last update date is 2007-07-08.
Theresa Lynn Crowder's current location address is 207 N Axtel Ave, Milford, Illinois. You can contact this provider via phone number 8158894241 and fax number 8158894244. The mailing address for Theresa Lynn Crowder is 207 N Axtel Ave, Milford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Lynn Crowder |
|---|---|
| Address | 207 N Axtel Ave, Milford, Illinois |
| Phone Number | 8158894241 |
| Fax Number | 8158894244 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1619961737 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 207 N Axtel Ave |
|---|---|
| City | Milford |
| State | Illinois (IL) |
| Post Code | 609531003 |
| Phone Number | 8158894241 |
| Fax Number | 8158894244 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003575 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theresa Lynn Crowder by the Centers for Medicare & Medicaid Services?
The Theresa Lynn Crowder has been assigned the NPI (National Provider Identifier) 1619961737 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 Theresa Lynn Crowder is physically located?
The Theresa Lynn Crowder is situated at the following address: 207 N Axtel Ave, Milford, IL 609531003.
What is the Theresa Lynn Crowder's area of specialization and corresponding taxonomy classification?
The Theresa Lynn Crowder'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 Centers for Medicare & Medicaid Services assign the 1619961737 to Theresa Lynn Crowder?
The Centers for Medicare & Medicaid Services assigned the 1619961737 to Theresa Lynn Crowder on 2005-09-02.
When was the Theresa Lynn Crowder's information last updated?
The Theresa Lynn Crowder's information was last updated on 2007-07-08.