Li Ren is a Physician Assistant in Rapid City, South Dakota. Li Ren practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Li Ren is 1184642852. The last update date is 2013-01-24.
Li Ren's current location address is 640 Flormann St, Rapid City, South Dakota. You can contact this provider via phone number 6057183300 and fax number 6057183426. The mailing address for Li Ren is 640 Flormann St, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Li Ren |
|---|---|
| Address | 640 Flormann St, Rapid City, South Dakota |
| Phone Number | 6057183300 |
| Fax Number | 6057183426 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184642852 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
| Address | 640 Flormann St |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 57701 |
| Phone Number | 6057183300 |
| Fax Number | 6057183426 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 622 |
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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 |
|---|---|---|---|
| P00360757 | SD | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Li Ren by the Centers for Medicare & Medicaid Services?
The Li Ren has been assigned the NPI (National Provider Identifier) 1184642852. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Li Ren?
The Li Ren is situated at 640 Flormann St, in the city of Rapid City, state of SD, with the zip code 57701.
What is the Li Ren's specialty and taxonomy code?
The Li Ren's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Li Ren's 1184642852 issued?
The Li Ren's 1184642852 was issued on 2006-07-18.
As of what date was the information regarding Li Ren, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Li Ren, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-24.