Louise L Tichenor in Malone - Physician Assistant

Louise L Tichenor - NPI 1053480244

Louise L Tichenor is a Physician Assistant in Malone, New York. Louise L Tichenor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Louise L Tichenor is 1053480244. The last update date is 2007-07-08.

Louise L Tichenor's current location address is 336 Elm St, Malone, New York. You can contact this provider via phone number 5184830022 and fax number 5184836179. The mailing address for Louise L Tichenor is 336 Elm St, Malone, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Louise L Tichenor
Address 336 Elm St, Malone, New York
Phone Number 5184830022
Fax Number 5184836179
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1053480244
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 336 Elm St
City Malone
State New York (NY)
Post Code 129531514
Phone Number 5184830022
Fax Number 5184836179

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4851577
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
1916090 NY --

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FAQs about Louise L Tichenor

What is the Louise L Tichenor's unique identification number?

The Louise L Tichenor has been assigned the NPI (National Provider Identifier) Number 1053480244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Louise L Tichenor is physically located?

The Louise L Tichenor is physically situated at the following address: 336 Elm St, Malone, NY, 129531514.

What is the Louise L Tichenor's area of specialization and corresponding taxonomy classification?

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

What is Louise L Tichenor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Louise L Tichenor is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

As of what date were the Louise L Tichenor's details last updated?

The information pertaining to the Louise L Tichenor, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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