Edward Joseph Laverty in Colebrook - Physician Assistant
Edward Joseph Laverty - NPI 1366432478
Edward Joseph Laverty is a Physician Assistant in Colebrook, New Hampshire. Edward Joseph Laverty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edward Joseph Laverty is 1366432478. The last update date is 2007-07-08.
Edward Joseph Laverty's current location address is 181 Corliss Ln, Colebrook, New Hampshire. You can contact this provider via phone number 6032374971 and fax number 6032374594. The mailing address for Edward Joseph Laverty is 181 Corliss Ln, Colebrook, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Joseph Laverty |
|---|---|
| Address | 181 Corliss Ln, Colebrook, New Hampshire |
| Phone Number | 6032374971 |
| Fax Number | 6032374594 |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1366432478 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 181 Corliss Ln |
|---|---|
| City | Colebrook |
| State | New Hampshire (NH) |
| Post Code | 35763207 |
| Phone Number | 6032374971 |
| Fax Number | 6032374594 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0264P |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30010636 | NH | -- | |
| 341726 | UT | MVP | |
| 0AP0387 | VT | -- | |
| 542157 | TRICARE | ||
| 38485 | VT | BLUE CROSS |
Post Comment/ Review Below
What is the Edward Joseph Laverty's unique identification number?
The Edward Joseph Laverty has been assigned the NPI (National Provider Identifier) Number 1366432478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Edward Joseph Laverty is geographically located?
The Edward Joseph Laverty is physically situated at the following location: 181 Corliss Ln, Colebrook, NH, 35763207.
What is the Edward Joseph Laverty's area of specialization and corresponding taxonomy classification?
The Edward Joseph Laverty's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Edward Joseph Laverty receive the assignment of its 1366432478 from the Centers for Medicare & Medicaid Services?
The Edward Joseph Laverty was issued its 1366432478 by the Centers for Medicare & Medicaid Services on 2005-10-28.
When was the information related to Edward Joseph Laverty most recently updated or refreshed?
The details pertaining to the Edward Joseph Laverty, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY