Connie M Anderson in Grand Rapids - Physician Assistant
Connie M Anderson - NPI 1124012919
Connie M Anderson is a Physician Assistant in Grand Rapids, Michigan. Connie M Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Connie M Anderson is 1124012919. The last update date is 2023-03-02.
Connie M Anderson's current location address is 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. You can contact this provider via phone number 6169429343 and fax number 6169422538. The mailing address for Connie M Anderson is 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Connie M Anderson |
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Address | 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan |
Phone Number | 6169429343 |
Fax Number | 6169422538 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1124012919 |
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Provider Enumeration Date | 2005-09-07 |
Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
Address | 750 E Beltline Ave Ne Ste 301 |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495256046 |
Phone Number | 6169429343 |
Fax Number | 6169422538 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601002814 |
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 |
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1941713 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Connie M Anderson by the Centers for Medicare & Medicaid Services?
The Connie M Anderson has been issued the NPI (National Provider Identifier) 1124012919, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Connie M Anderson's facilities are geographically located?
The facilities of Connie M Anderson are physically situated at the following location: 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI, 495256046.
What is Connie M Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Connie M Anderson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Connie M Anderson receive the assignment of its 1124012919 from the Centers for Medicare & Medicaid Services?
The Connie M Anderson was issued its 1124012919 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date was the information pertaining to Connie M Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Connie M Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-02.