Deryck A Korhonen in Powers - Physician Assistant
Deryck A Korhonen - NPI 1538178058
Deryck A Korhonen is a Physician Assistant in Powers, Michigan. Deryck A Korhonen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deryck A Korhonen is 1538178058. The last update date is 2007-07-24.
Deryck A Korhonen's current location address is N15995 Main St, Powers, Michigan. You can contact this provider via phone number 9064974360 and fax number 9064974362. The mailing address for Deryck A Korhonen is N15995 Main St, Powers, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deryck A Korhonen |
|---|---|
| Address | N15995 Main St, Powers, Michigan |
| Phone Number | 9064974360 |
| Fax Number | 9064974362 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1538178058 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | N15995 Main St |
|---|---|
| City | Powers |
| State | Michigan (MI) |
| Post Code | 498749608 |
| Phone Number | 9064974360 |
| Fax Number | 9064974362 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003474 |
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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 |
|---|---|---|---|
| 970016972 | MI | RR MEDICARE GROUP#CC2139 |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Deryck A Korhonen by the Centers for Medicare & Medicaid Services?
The Deryck A Korhonen has been assigned the NPI (National Provider Identifier) 1538178058 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Deryck A Korhonen is physically located?
The Deryck A Korhonen is situated at the following address: N15995 Main St, Powers, MI 498749608.
What is Deryck A Korhonen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Deryck A Korhonen is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538178058 to Deryck A Korhonen?
The Centers for Medicare & Medicaid Services assigned the 1538178058 to Deryck A Korhonen on 2006-08-05.
When was the information related to Deryck A Korhonen most recently updated or refreshed?
The details pertaining to the Deryck A Korhonen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-24.
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