Stephen R Berkstresser in Kirbyville - Physician Assistant

Stephen R Berkstresser - NPI 1922105238

Stephen R Berkstresser is a Physician Assistant in Kirbyville, Missouri. Stephen R Berkstresser practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephen R Berkstresser is 1922105238. The last update date is 2021-05-26.

Stephen R Berkstresser's current location address is 343 Yandell Cove Rd, Kirbyville, Missouri. You can contact this provider via phone number 4175465572. The mailing address for Stephen R Berkstresser is 343 Yandell Cove Rd, Kirbyville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen R Berkstresser
Address 343 Yandell Cove Rd, Kirbyville, Missouri
Phone Number 4175465572
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1922105238
Provider Enumeration Date 2006-09-20
Last Updated Date 2021-05-26

Provider Mailing Address Detail

Address 343 Yandell Cove Rd
City Kirbyville
State Missouri (MO)
Post Code 656798387
Phone Number 4175465572
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 102310
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
220082007 MO --
507954006 MO --
8068 BCBS
80110697 RAILROAD MEDICARE

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FAQs about Stephen R Berkstresser

What is the unique 10-digit identification code assigned to Stephen R Berkstresser by the Centers for Medicare & Medicaid Services?

The Stephen R Berkstresser has been issued the NPI (National Provider Identifier) 1922105238, 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 Stephen R Berkstresser is physically located?

The Stephen R Berkstresser is physically situated at the following address: 343 Yandell Cove Rd, Kirbyville, MO, 656798387.

What is Stephen R Berkstresser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen R Berkstresser is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Stephen R Berkstresser receive its 1922105238?

The Stephen R Berkstresser was issued its 1922105238 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

As of what date were the Stephen R Berkstresser's details last updated?

The information pertaining to the Stephen R Berkstresser, including its address, specialty, and other details, was most recently updated on 2021-05-26.

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