Cheryl Cline Stough in Shreveport - Physician Assistant
Cheryl Cline Stough - NPI 1699792671
Cheryl Cline Stough is a Physician Assistant in Shreveport, Louisiana. Cheryl Cline Stough practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cheryl Cline Stough is 1699792671. The last update date is 2009-06-23.
Cheryl Cline Stough's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3186757205 and fax number 3186756878. The mailing address for Cheryl Cline Stough is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Cline Stough |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3186757205 |
| Fax Number | 3186756878 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1699792671 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2009-06-23 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3186757205 |
| Fax Number | 3186756878 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | A10271 |
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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 |
|---|---|---|---|
| 1626023 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Cheryl Cline Stough by the Centers for Medicare & Medicaid Services?
The Cheryl Cline Stough has been assigned the NPI (National Provider Identifier) 1699792671. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Cheryl Cline Stough's facilities are geographically located?
The facilities of Cheryl Cline Stough are physically situated at the following location: 1501 Kings Hwy, Shreveport, LA, 711034228.
What is the Cheryl Cline Stough's area of specialization and corresponding taxonomy classification?
The Cheryl Cline Stough's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Cheryl Cline Stough receive its 1699792671 assignment?
The Cheryl Cline Stough was assigned its 1699792671 on 2006-07-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Cheryl Cline Stough most recently updated?
The details pertaining to the Cheryl Cline Stough, including its address, specialty, and other relevant information, were last refreshed on 2009-06-23.