Bianca Bottiaux in Indianapolis - Physician Assistant
Bianca Bottiaux - NPI 1679639561
Bianca Bottiaux is a Physician Assistant in Indianapolis, Indiana. Bianca Bottiaux practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bianca Bottiaux is 1679639561. The last update date is 2011-09-02.
Bianca Bottiaux's current location address is Po Box 1105, Indianapolis, Indiana. You can contact this provider via phone number 6185495361 and fax number 6185495128. The mailing address for Bianca Bottiaux is Po Box 1105, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bianca Bottiaux |
|---|---|
| Address | Po Box 1105, Indianapolis, Indiana |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1679639561 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2011-09-02 |
Provider Mailing Address Detail
| Address | Po Box 1105 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462061105 |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-000730 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3932056 | IL | BCBS OF IL | |
| 7210895 | IL | AETNA | |
| 444347 | IL | HEALTHLINK | |
| 37526 | IL | HAMP INS. # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bianca Bottiaux by the Centers for Medicare & Medicaid Services?
The Bianca Bottiaux has been issued the NPI (National Provider Identifier) 1679639561, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bianca Bottiaux is geographically located?
The Bianca Bottiaux is physically situated at the following location: Po Box 1105, Indianapolis, IN, 462061105.
What is the Bianca Bottiaux's specialty and taxonomy code?
The Bianca Bottiaux's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Bianca Bottiaux receive its 1679639561?
The Bianca Bottiaux was issued its 1679639561 on 2006-12-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Bianca Bottiaux most recently updated or revised?
The information pertaining to Bianca Bottiaux, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-02.