Charity J Goben in Austin - Physician Assistant
Charity J Goben - NPI 1114926243
Charity J Goben is a Physician Assistant in Austin, Minnesota. Charity J Goben practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charity J Goben is 1114926243. The last update date is 2023-10-13.
Charity J Goben's current location address is 1906 8th St Nw, Austin, Minnesota. You can contact this provider via phone number 5074346982 and fax number 5074346983. The mailing address for Charity J Goben is 1906 8th St Nw, Austin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charity J Goben |
|---|---|
| Address | 1906 8th St Nw, Austin, Minnesota |
| Phone Number | 5074346982 |
| Fax Number | 5074346983 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114926243 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2023-10-13 |
Provider Mailing Address Detail
| Address | 1906 8th St Nw |
|---|---|
| City | Austin |
| State | Minnesota (MN) |
| Post Code | 559122473 |
| Phone Number | 5074346982 |
| Fax Number | 5074346983 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 14489 |
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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 identifier code issued to Charity J Goben by the Centers for Medicare & Medicaid Services?
The Charity J Goben has been assigned the NPI (National Provider Identifier) 1114926243. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charity J Goben located?
The Charity J Goben is located at 1906 8Th St Nw, Austin, MN 559122473.
What is Charity J Goben's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charity J Goben's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Charity J Goben receive its 1114926243?
The Charity J Goben was issued its 1114926243 on 2005-07-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Charity J Goben most recently updated or revised?
The information pertaining to Charity J Goben, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-13.