Regina M Willette in Canton - Physician Assistant
Regina M Willette - NPI 1053430488
Regina M Willette is a Physician Assistant in Canton, New York. Regina M Willette practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Regina M Willette is 1053430488. The last update date is 2008-03-16.
Regina M Willette's current location address is 80 State Highway 310, Canton, New York. You can contact this provider via phone number 3153862189 and fax number 3153862435. The mailing address for Regina M Willette is 80 State Highway 310, Canton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina M Willette |
|---|---|
| Address | 80 State Highway 310, Canton, New York |
| Phone Number | 3153862189 |
| Fax Number | 3153862435 |
| Sole Proprietor | N |
| Credentials | RPA C |
NPI Number Detail
| NPI Number | 1053430488 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2008-03-16 |
Provider Mailing Address Detail
| Address | 80 State Highway 310 |
|---|---|
| City | Canton |
| State | New York (NY) |
| Post Code | 136171493 |
| Phone Number | 3153862189 |
| Fax Number | 3153862435 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3588 |
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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 Regina M Willette's 1053430488?
The Regina M Willette's NPI (National Provider Identifier) Number is 1053430488. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Regina M Willette's facilities are geographically located?
The facilities of Regina M Willette are physically situated at the following location: 80 State Highway 310, Canton, NY, 136171493.
What is Regina M Willette's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Regina M Willette'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 Regina M Willette receive the assignment of its 1053430488 from the Centers for Medicare & Medicaid Services?
The Regina M Willette was issued its 1053430488 by the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the Regina M Willette's details last updated?
The information pertaining to the Regina M Willette, including its address, specialty, and other details, was most recently updated on 2008-03-16.