Willie J Street in Tonkawa - Physician Assistant
Willie J Street - NPI 1215005244
Willie J Street is a Physician Assistant in Tonkawa, Oklahoma. Willie J Street practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Willie J Street is 1215005244. The last update date is 2012-03-07.
Willie J Street's current location address is Po Box 532, Tonkawa, Oklahoma. You can contact this provider via phone number 5806284800. The mailing address for Willie J Street is Po Box 532, Tonkawa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie J Street |
|---|---|
| Address | Po Box 532, Tonkawa, Oklahoma |
| Phone Number | 5806284800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1215005244 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
| Address | Po Box 532 |
|---|---|
| City | Tonkawa |
| State | Oklahoma (OK) |
| Post Code | 746530532 |
| Phone Number | 5806284800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 631 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100101960G | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Willie J Street by the Centers for Medicare & Medicaid Services?
The Willie J Street has been assigned the NPI (National Provider Identifier) 1215005244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Willie J Street is physically located?
The Willie J Street is situated at the following address: Po Box 532, Tonkawa, OK 746530532.
What is Willie J Street's specialized field of practice, and what is the corresponding taxonomy classification code?
The Willie J Street's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the Willie J Street receive its 1215005244?
The Willie J Street was issued its 1215005244 on 2006-11-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Willie J Street, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Willie J Street, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-03-07.