Thomas Wilks Ellis in St Francis - Physician Assistant
Thomas Wilks Ellis - NPI 1881632891
Thomas Wilks Ellis is a Physician Assistant in St Francis, Minnesota. Thomas Wilks Ellis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas Wilks Ellis is 1881632891. The last update date is 2012-09-24.
Thomas Wilks Ellis's current location address is 2873 233rd Ln Nw, St Francis, Minnesota. You can contact this provider via phone number 7637533306. The mailing address for Thomas Wilks Ellis is 2873 233rd Ln Nw, St Francis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Wilks Ellis |
|---|---|
| Address | 2873 233rd Ln Nw, St Francis, Minnesota |
| Phone Number | 7637533306 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. C |
NPI Number Detail
| NPI Number | 1881632891 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 2873 233rd Ln Nw |
|---|---|
| City | St Francis |
| State | Minnesota (MN) |
| Post Code | 550708630 |
| Phone Number | 7637533306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9063 |
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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 10-digit identifier code assigned to Thomas Wilks Ellis by the Centers for Medicare & Medicaid Services?
The Thomas Wilks Ellis has been issued the NPI (National Provider Identifier) 1881632891 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Thomas Wilks Ellis's physical address?
The Thomas Wilks Ellis is physically located at 2873 233Rd Ln Nw, in the city of St Francis, MN, with the postal code 550708630.
What is Thomas Wilks Ellis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas Wilks Ellis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Thomas Wilks Ellis receive its 1881632891 assignment?
The Thomas Wilks Ellis was assigned its 1881632891 on 2006-06-02, which is the date when this unique identifier was issued to the organization.
When was the Thomas Wilks Ellis's information last updated?
The Thomas Wilks Ellis's information was last updated on 2012-09-24.
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