Angela Burch is a Physician Assistant in Holland, Michigan. Angela Burch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angela Burch is 1124069497. The last update date is 2009-09-17.
Angela Burch's current location address is 646 S Waverly Rd, Holland, Michigan. You can contact this provider via phone number 6167966500. The mailing address for Angela Burch is 646 S Waverly Rd, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Burch |
|---|---|
| Address | 646 S Waverly Rd, Holland, Michigan |
| Phone Number | 6167966500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124069497 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2009-09-17 |
Provider Mailing Address Detail
| Address | 646 S Waverly Rd |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494239121 |
| Phone Number | 6167966500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004157 |
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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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What is the unique identification code assigned to Angela Burch by the Centers for Medicare & Medicaid Services?
The Angela Burch has been issued the NPI (National Provider Identifier) 1124069497. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Angela Burch?
The Angela Burch is physically situated at 646 S Waverly Rd, in the city of Holland, state of MI, with the postal code 494239121.
What is the Angela Burch's specialty and taxonomy code?
The Angela Burch's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Angela Burch receive its 1124069497?
The Angela Burch was issued its 1124069497 on 2006-06-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Angela Burch's details last updated?
The information pertaining to the Angela Burch, including its address, specialty, and other details, was most recently updated on 2009-09-17.