Shawn Edmund Van Wallendael in Charlotte - Physician Assistant
Shawn Edmund Van Wallendael - NPI 1376570689
Shawn Edmund Van Wallendael is a Physician Assistant in Charlotte, North Carolina. Shawn Edmund Van Wallendael practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shawn Edmund Van Wallendael is 1376570689. The last update date is 2023-05-04.
Shawn Edmund Van Wallendael's current location address is 10648 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043559330. The mailing address for Shawn Edmund Van Wallendael is 10648 Park Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Edmund Van Wallendael |
|---|---|
| Address | 10648 Park Rd, Charlotte, North Carolina |
| Phone Number | 7043559330 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1376570689 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2023-05-04 |
Provider Mailing Address Detail
| Address | 10648 Park Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282108407 |
| Phone Number | 7043559330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103076 |
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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 unique identification code assigned to Shawn Edmund Van Wallendael by the Centers for Medicare & Medicaid Services?
The Shawn Edmund Van Wallendael has been issued the NPI (National Provider Identifier) 1376570689. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shawn Edmund Van Wallendael?
The Shawn Edmund Van Wallendael is situated at 10648 Park Rd, in the city of Charlotte, state of NC, with the zip code 282108407.
What is the area of specialization for Shawn Edmund Van Wallendael, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn Edmund Van Wallendael is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376570689 to Shawn Edmund Van Wallendael?
The Centers for Medicare & Medicaid Services originally issued the 1376570689 to Shawn Edmund Van Wallendael on 2006-06-26.
When was the information regarding Shawn Edmund Van Wallendael, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shawn Edmund Van Wallendael, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-05-04.