Nathan Reyelts in Fairmont - Physician Assistant

Nathan Reyelts - NPI 1932183084

Nathan Reyelts is a Physician Assistant in Fairmont, Minnesota. Nathan Reyelts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nathan Reyelts is 1932183084. The last update date is 2020-09-01.

Nathan Reyelts's current location address is 1950 Center Creek Dr, Fairmont, Minnesota. You can contact this provider via phone number 5072384968. The mailing address for Nathan Reyelts is 1950 Center Creek Dr, Fairmont, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Nathan Reyelts
Address 1950 Center Creek Dr, Fairmont, Minnesota
Phone Number 5072384968
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1932183084
Provider Enumeration Date 2005-12-02
Last Updated Date 2020-09-01

Provider Mailing Address Detail

Address 1950 Center Creek Dr
City Fairmont
State Minnesota (MN)
Post Code 560313428
Phone Number 5072384968
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9910
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
01-18804 MN MEDICA
HP47426 MN HEALTH PARTNERS
MH9041041957 MN PREFERRED ONE
320K0RE MN --
4686 MN AVERA
959478 IA --
2229453 MN ARAZ
151650700 MN --
320K0RE MN BLUE CROSS
131996 MN --

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FAQs about Nathan Reyelts

What is the unique 10-digit identification code assigned to Nathan Reyelts by the Centers for Medicare & Medicaid Services?

The Nathan Reyelts has been issued the NPI (National Provider Identifier) 1932183084, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Nathan Reyelts is physically located?

The Nathan Reyelts is physically situated at the following address: 1950 Center Creek Dr, Fairmont, MN, 560313428.

What is the Nathan Reyelts's area of specialization and corresponding taxonomy classification?

The Nathan Reyelts's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Nathan Reyelts receive its 1932183084?

The Nathan Reyelts was issued its 1932183084 on 2005-12-02, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Nathan Reyelts most recently updated or revised?

The information pertaining to Nathan Reyelts, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-01.

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