Dwaine Siade in South Bend - Physician Assistant
Dwaine Siade - NPI 1316167307
Dwaine Siade is a Physician Assistant in South Bend, Indiana. Dwaine Siade practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dwaine Siade is 1316167307. The last update date is 2019-08-23.
Dwaine Siade's current location address is 611 Lincoln Way East Suite 1, South Bend, Indiana. You can contact this provider via phone number 5748551090 and fax number 5748554660. The mailing address for Dwaine Siade is 611 Lincoln Way East Suite 1, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwaine Siade |
|---|---|
| Address | 611 Lincoln Way East Suite 1, South Bend, Indiana |
| Phone Number | 5748551090 |
| Fax Number | 5748554660 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316167307 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2019-08-23 |
Provider Mailing Address Detail
| Address | 611 Lincoln Way East Suite 1 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 46601 |
| Phone Number | 5748551090 |
| Fax Number | 5748554660 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000778A |
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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 Dwaine Siade by the Centers for Medicare & Medicaid Services?
The Dwaine Siade has been assigned the NPI (National Provider Identifier) 1316167307 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Dwaine Siade's physical address?
The Dwaine Siade is physically located at 611 Lincoln Way East Suite 1, in the city of South Bend, IN, with the postal code 46601.
What is Dwaine Siade's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwaine Siade's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Dwaine Siade's 1316167307 issued?
The Dwaine Siade's 1316167307 was issued on 2007-05-01.
When was the information regarding Dwaine Siade, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dwaine Siade, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-08-23.