John S. Riveral in Winston Salem - Physician Assistant
John S. Riveral - NPI 1740241165
John S. Riveral is a Physician Assistant in Winston Salem, North Carolina. John S. Riveral practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John S. Riveral is 1740241165. The last update date is 2007-09-12.
John S. Riveral's current location address is 250 Charlois Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367181000. The mailing address for John S. Riveral is 250 Charlois Blvd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John S. Riveral |
|---|---|
| Address | 250 Charlois Blvd, Winston Salem, North Carolina |
| Phone Number | 3367181000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740241165 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 250 Charlois Blvd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271031508 |
| Phone Number | 3367181000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 100112 |
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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
Can you provide the John S. Riveral's physical address?
The John S. Riveral is physically located at 250 Charlois Blvd, in the city of Winston Salem, NC, with the postal code 271031508.
What is John S. Riveral's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John S. Riveral is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the John S. Riveral receive its 1740241165?
The John S. Riveral was issued its 1740241165 on 2006-03-28, which is the date when the organization was assigned this unique identifier.
On what date did the John S. Riveral receive its 1740241165 assignment from the Centers for Medicare & Medicaid Services?
The John S. Riveral was assigned its 1740241165 by the Centers for Medicare & Medicaid Services on 2006-03-28.
As of what date were the John S. Riveral's details last updated?
The information pertaining to the John S. Riveral, including its address, specialty, and other details, was most recently updated on 2007-09-12.