Michelle L Brokes in Ellsworth - Physician Assistant

Michelle L Brokes - NPI 1972798353

Michelle L Brokes is a Physician Assistant in Ellsworth, Kansas. Michelle L Brokes practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle L Brokes is 1972798353. The last update date is 2009-12-17.

Michelle L Brokes's current location address is 1602 N Aylward Ave, Ellsworth, Kansas. You can contact this provider via phone number 7854723111 and fax number 7854725731. The mailing address for Michelle L Brokes is 1602 N Aylward Ave, Ellsworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle L Brokes
Address 1602 N Aylward Ave, Ellsworth, Kansas
Phone Number 7854723111
Fax Number 7854725731
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1972798353
Provider Enumeration Date 2007-09-10
Last Updated Date 2009-12-17

Provider Mailing Address Detail

Address 1602 N Aylward Ave
City Ellsworth
State Kansas (KS)
Post Code 674392541
Phone Number 7854723111
Fax Number 7854725731

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No T01546
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T01546 KS STATE LICENSE
200548240C KS --

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FAQs about Michelle L Brokes

What is the unique 10-digit identification code issued to Michelle L Brokes by the Centers for Medicare & Medicaid Services?

The Michelle L Brokes has been assigned the NPI (National Provider Identifier) 1972798353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Michelle L Brokes located?

The Michelle L Brokes is located at 1602 N Aylward Ave, Ellsworth, KS 674392541.

What is Michelle L Brokes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michelle L Brokes is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did Michelle L Brokes receive its 1972798353 assignment from the Centers for Medicare & Medicaid Services?

The Michelle L Brokes was assigned its 1972798353 on 2007-09-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Michelle L Brokes last refreshed?

The information related to the Michelle L Brokes, including its address, specialty, and other relevant details, was last updated on 2009-12-17.

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