Edmond Habash in Great Bend - Physician Assistant
Edmond Habash - NPI 1194774901
Edmond Habash is a Physician Assistant in Great Bend, Kansas. Edmond Habash practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edmond Habash is 1194774901. The last update date is 2013-08-01.
Edmond Habash's current location address is 3515 Broadway Ave, Great Bend, Kansas. You can contact this provider via phone number 6207938429 and fax number 6207936014. The mailing address for Edmond Habash is 3515 Broadway Ave, Great Bend, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmond Habash |
|---|---|
| Address | 3515 Broadway Ave, Great Bend, Kansas |
| Phone Number | 6207938429 |
| Fax Number | 6207936014 |
| Sole Proprietor | N |
| Credentials | P.A-C |
NPI Number Detail
| NPI Number | 1194774901 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2013-08-01 |
Provider Mailing Address Detail
| Address | 3515 Broadway Ave |
|---|---|
| City | Great Bend |
| State | Kansas (KS) |
| Post Code | 675303633 |
| Phone Number | 6207938429 |
| Fax Number | 6207936014 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1500579 |
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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 |
|---|---|---|---|
| 100359440B | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edmond Habash by the Centers for Medicare & Medicaid Services?
The Edmond Habash has been assigned the NPI (National Provider Identifier) 1194774901 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 physical address where Edmond Habash is located?
The Edmond Habash is situated at the following address: 3515 Broadway Ave, Great Bend, KS, 675303633.
What is Edmond Habash's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edmond Habash's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Edmond Habash receive its 1194774901 assignment from the Centers for Medicare & Medicaid Services?
The Edmond Habash was assigned its 1194774901 on 2006-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Edmond Habash's information last updated?
The Edmond Habash's information was last updated on 2013-08-01.
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