Blaine C Etzel in Durham - Physician Assistant
Blaine C Etzel - NPI 1881686590
Blaine C Etzel is a Physician Assistant in Durham, North Carolina. Blaine C Etzel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Blaine C Etzel is 1881686590. The last update date is 2020-09-23.
Blaine C Etzel's current location address is 120 William Penn Plz, Durham, North Carolina. You can contact this provider via phone number 9192205255 and fax number 9193131276. The mailing address for Blaine C Etzel is 120 William Penn Plz, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine C Etzel |
|---|---|
| Address | 120 William Penn Plz, Durham, North Carolina |
| Phone Number | 9192205255 |
| Fax Number | 9193131276 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1881686590 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2020-09-23 |
Provider Mailing Address Detail
| Address | 120 William Penn Plz |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277042150 |
| Phone Number | 9192205255 |
| Fax Number | 9193131276 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004050 |
|
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 |
|---|---|---|---|
| 0010-10604 | NC | NORTH CAROLINA MEDICAL BOARD |
Post Comment/ Review Below
What is the Blaine C Etzel's unique identification number?
The Blaine C Etzel has been assigned the NPI (National Provider Identifier) Number 1881686590 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 Blaine C Etzel is physically located?
The Blaine C Etzel is physically situated at the following address: 120 William Penn Plz, Durham, NC, 277042150.
What is the Blaine C Etzel's area of specialization and corresponding taxonomy classification?
The Blaine C Etzel'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 was the 1881686590 assigned to Blaine C Etzel?
The Blaine C Etzel was issued its 1881686590 on 2005-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Blaine C Etzel's details last updated?
The information pertaining to the Blaine C Etzel, including its address, specialty, and other details, was most recently updated on 2020-09-23.