Rebecca De Carolis in Traverse City - Physician Assistant
Rebecca De Carolis - NPI 1750500344
Rebecca De Carolis is a Physician Assistant in Traverse City, Michigan. Rebecca De Carolis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rebecca De Carolis is 1750500344. The last update date is 2007-07-09.
Rebecca De Carolis's current location address is 1105 6th St, Traverse City, Michigan. You can contact this provider via phone number 2319358686 and fax number 2319358708. The mailing address for Rebecca De Carolis is 1105 6th St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca De Carolis |
|---|---|
| Address | 1105 6th St, Traverse City, Michigan |
| Phone Number | 2319358686 |
| Fax Number | 2319358708 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750500344 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1105 6th St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842345 |
| Phone Number | 2319358686 |
| Fax Number | 2319358708 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002849 |
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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 |
|---|---|---|---|
| RD002849 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Rebecca De Carolis by the Centers for Medicare & Medicaid Services (CMS)?
The Rebecca De Carolis has been assigned the NPI (National Provider Identifier) 1750500344. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Rebecca De Carolis?
The Rebecca De Carolis is situated at 1105 6Th St, in the city of Traverse City, state of MI, with the zip code 496842345.
What is Rebecca De Carolis's area of expertise and its corresponding taxonomy classification?
The Rebecca De Carolis's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750500344 to Rebecca De Carolis?
The Centers for Medicare & Medicaid Services originally issued the 1750500344 to Rebecca De Carolis on 2007-04-24.
When was the information related to Rebecca De Carolis most recently updated or refreshed?
The details pertaining to the Rebecca De Carolis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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