James Dernocoeur in Grand Rapids - Physician Assistant
James Dernocoeur - NPI 1083609374
James Dernocoeur is a Physician Assistant in Grand Rapids, Michigan. James Dernocoeur practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James Dernocoeur is 1083609374. The last update date is 2011-08-11.
James Dernocoeur's current location address is Po Box Q, Grand Rapids, Michigan. You can contact this provider via phone number 8009686866. The mailing address for James Dernocoeur is Po Box Q, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Dernocoeur |
|---|---|
| Address | Po Box Q, Grand Rapids, Michigan |
| Phone Number | 8009686866 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1083609374 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | Po Box Q |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495014917 |
| Phone Number | 8009686866 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002553 |
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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 |
|---|---|---|---|
| 970004371 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Dernocoeur by the Centers for Medicare & Medicaid Services?
The James Dernocoeur has been issued the NPI (National Provider Identifier) 1083609374, 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 James Dernocoeur's facilities are geographically located?
The facilities of James Dernocoeur are physically situated at the following location: Po Box Q, Grand Rapids, MI, 495014917.
What is James Dernocoeur's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Dernocoeur is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1083609374 assigned to James Dernocoeur?
The James Dernocoeur was issued its 1083609374 on 2005-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding James Dernocoeur most recently updated?
The details pertaining to the James Dernocoeur, including its address, specialty, and other relevant information, were last refreshed on 2011-08-11.