Fred Corder in Coshocton - Physician Assistant

Fred Corder - NPI 1164586400

Fred Corder is a Physician Assistant in Coshocton, Ohio. Fred Corder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Fred Corder is 1164586400. The last update date is 2007-07-08.

Fred Corder's current location address is 946 Severn Dr, Coshocton, Ohio. You can contact this provider via phone number 7406224916. The mailing address for Fred Corder is 946 Severn Dr, Coshocton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred Corder
Address 946 Severn Dr, Coshocton, Ohio
Phone Number 7406224916
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164586400
Provider Enumeration Date 2006-12-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 946 Severn Dr
City Coshocton
State Ohio (OH)
Post Code 438122737
Phone Number 7406224916
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50.000341
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
50.000341 OH PA-C LICENSE NUMBER

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FAQs about Fred Corder

What is the unique 10-digit identification code assigned to Fred Corder by the Centers for Medicare & Medicaid Services?

The Fred Corder has been issued the NPI (National Provider Identifier) 1164586400, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Fred Corder's facilities are geographically located?

The facilities of Fred Corder are physically situated at the following location: 946 Severn Dr, Coshocton, OH, 438122737.

What is Fred Corder's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fred Corder's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When did Fred Corder receive its 1164586400 assignment?

The Fred Corder was assigned its 1164586400 on 2006-12-21, which is the date when this unique identifier was issued to the organization.

When was the Fred Corder's information last updated?

The Fred Corder's information was last updated on 2007-07-08.

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