Carole Vandyke in Detroit - Physician Assistant

Carole Vandyke - NPI 1114997228

Carole Vandyke is a Physician Assistant in Detroit, Michigan. Carole Vandyke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carole Vandyke is 1114997228. The last update date is 2009-01-08.

Carole Vandyke's current location address is 261 Mack Ave, Detroit, Michigan. You can contact this provider via phone number 3137457351 and fax number 3137452376. The mailing address for Carole Vandyke is 261 Mack Ave, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole Vandyke
Address 261 Mack Ave, Detroit, Michigan
Phone Number 3137457351
Fax Number 3137452376
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1114997228
Provider Enumeration Date 2006-01-23
Last Updated Date 2009-01-08

Provider Mailing Address Detail

Address 261 Mack Ave
City Detroit
State Michigan (MI)
Post Code 482012417
Phone Number 3137457351
Fax Number 3137452376

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601002838
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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FAQs about Carole Vandyke

What is the unique 10-digit identifier code issued to Carole Vandyke by the Centers for Medicare & Medicaid Services?

The Carole Vandyke has been assigned the NPI (National Provider Identifier) 1114997228 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 Carole Vandyke's physical address?

The Carole Vandyke is physically located at 261 Mack Ave, in the city of Detroit, MI, with the postal code 482012417.

What is Carole Vandyke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carole Vandyke's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When was the Carole Vandyke's 1114997228 issued?

The Carole Vandyke's 1114997228 was issued on 2006-01-23.

As of what date was the information pertaining to Carole Vandyke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carole Vandyke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-08.

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