Richard B Hathaway in Blaine - Physician Assistant
Richard B Hathaway - NPI 1710961966
Richard B Hathaway is a Physician Assistant in Blaine, Minnesota. Richard B Hathaway practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard B Hathaway is 1710961966. The last update date is 2007-07-08.
Richard B Hathaway's current location address is 12175 Aberdeen St Ne, Blaine, Minnesota. You can contact this provider via phone number 7637854200 and fax number 7637853314. The mailing address for Richard B Hathaway is 12175 Aberdeen St Ne, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard B Hathaway |
|---|---|
| Address | 12175 Aberdeen St Ne, Blaine, Minnesota |
| Phone Number | 7637854200 |
| Fax Number | 7637853314 |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1710961966 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12175 Aberdeen St Ne |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554494717 |
| Phone Number | 7637854200 |
| Fax Number | 7637853314 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9199 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard B Hathaway by the Centers for Medicare & Medicaid Services?
The Richard B Hathaway has been issued the NPI (National Provider Identifier) 1710961966, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard B Hathaway?
The Richard B Hathaway is physically situated at 12175 Aberdeen St Ne, in the city of Blaine, state of MN, with the postal code 554494717.
What is Richard B Hathaway's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard B Hathaway's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Richard B Hathaway receive its 1710961966 assignment from the Centers for Medicare & Medicaid Services?
The Richard B Hathaway was assigned its 1710961966 by the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date was the information pertaining to Richard B Hathaway, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard B Hathaway, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY