Catherine Lynn Gavan in Shelby Township - Physician Assistant
Catherine Lynn Gavan - NPI 1215146311
Catherine Lynn Gavan is a Physician Assistant in Shelby Township, Michigan. Catherine Lynn Gavan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Catherine Lynn Gavan is 1215146311. The last update date is 2023-03-07.
Catherine Lynn Gavan's current location address is 48681 Hayes Rd, Shelby Township, Michigan. You can contact this provider via phone number 5867991212 and fax number 5867991210. The mailing address for Catherine Lynn Gavan is 48681 Hayes Rd, Shelby Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine Lynn Gavan |
|---|---|
| Address | 48681 Hayes Rd, Shelby Township, Michigan |
| Phone Number | 5867991212 |
| Fax Number | 5867991210 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1215146311 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 48681 Hayes Rd |
|---|---|
| City | Shelby Township |
| State | Michigan (MI) |
| Post Code | 483154403 |
| Phone Number | 5867991212 |
| Fax Number | 5867991210 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002698 |
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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 |
|---|---|---|---|
| 1755014270 | MI | BCBS OF MICHIGAN | |
| CG002698 | MI | MICHIGAN STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Catherine Lynn Gavan by the Centers for Medicare & Medicaid Services?
The Catherine Lynn Gavan has been issued the NPI (National Provider Identifier) 1215146311 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Catherine Lynn Gavan's facilities are situated?
The facilities of Catherine Lynn Gavan are physically located at the following address: 48681 Hayes Rd, Shelby Township, MI, 483154403.
What is the Catherine Lynn Gavan's specialty and taxonomy code?
The Catherine Lynn Gavan's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Catherine Lynn Gavan receive its 1215146311 assignment from the Centers for Medicare & Medicaid Services?
The Catherine Lynn Gavan was assigned its 1215146311 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Catherine Lynn Gavan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Catherine Lynn Gavan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.