Connie Sue Shanks in Iowa City - Physician Assistant
Connie Sue Shanks - NPI 1104933092
Connie Sue Shanks is a Physician Assistant in Iowa City, Iowa. Connie Sue Shanks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Connie Sue Shanks is 1104933092. The last update date is 2007-11-26.
Connie Sue Shanks's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193636314 and fax number 3193537788. The mailing address for Connie Sue Shanks is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Sue Shanks |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193636314 |
| Fax Number | 3193537788 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1104933092 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193636314 |
| Fax Number | 3193537788 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1721 |
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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 Connie Sue Shanks by the Centers for Medicare & Medicaid Services?
The Connie Sue Shanks has been assigned the NPI (National Provider Identifier) 1104933092 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Connie Sue Shanks's facilities are geographically located?
The facilities of Connie Sue Shanks are physically situated at the following location: 200 Hawkins Dr, Iowa City, IA, 522421009.
What is the Connie Sue Shanks's specialty and taxonomy code?
The Connie Sue Shanks's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Connie Sue Shanks receive its 1104933092 assignment from the Centers for Medicare & Medicaid Services?
The Connie Sue Shanks was assigned its 1104933092 by the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the information related to Connie Sue Shanks most recently updated or refreshed?
The details pertaining to the Connie Sue Shanks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-26.
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