Lisa M Heyboer in Grand Rapids - Physician Assistant
Lisa M Heyboer - NPI 1548283864
Lisa M Heyboer is a Physician Assistant in Grand Rapids, Michigan. Lisa M Heyboer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa M Heyboer is 1548283864. The last update date is 2021-04-22.
Lisa M Heyboer's current location address is 3271 Clear Vista Ct Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162677125 and fax number 6162679593. The mailing address for Lisa M Heyboer is 3271 Clear Vista Ct Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Heyboer |
|---|---|
| Address | 3271 Clear Vista Ct Ne, Grand Rapids, Michigan |
| Phone Number | 6162677125 |
| Fax Number | 6162679593 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1548283864 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | 3271 Clear Vista Ct Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259477 |
| Phone Number | 6162677125 |
| Fax Number | 6162679593 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003369 |
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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 10-digit identification code issued to Lisa M Heyboer by the Centers for Medicare & Medicaid Services?
The Lisa M Heyboer has been assigned the NPI (National Provider Identifier) 1548283864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Lisa M Heyboer is located?
The Lisa M Heyboer is situated at the following address: 3271 Clear Vista Ct Ne, Grand Rapids, MI, 495259477.
What is the Lisa M Heyboer's specialty and taxonomy code?
The Lisa M Heyboer's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Lisa M Heyboer receive its 1548283864 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M Heyboer was assigned its 1548283864 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lisa M Heyboer most recently updated or revised?
The information pertaining to Lisa M Heyboer, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-22.