Catherine C Black in Liberty Lake - Physician Assistant
Catherine C Black - NPI 1780613018
Catherine C Black is a Physician Assistant in Liberty Lake, Washington. Catherine C Black practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Catherine C Black is 1780613018. The last update date is 2023-08-01.
Catherine C Black's current location address is Po Box 331, Liberty Lake, Washington. You can contact this provider via phone number 8667472455 and fax number 5099449644. The mailing address for Catherine C Black is Po Box 331, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine C Black |
|---|---|
| Address | Po Box 331, Liberty Lake, Washington |
| Phone Number | 8667472455 |
| Fax Number | 5099449644 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780613018 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2023-08-01 |
Provider Mailing Address Detail
| Address | Po Box 331 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190331 |
| Phone Number | 8667472455 |
| Fax Number | 5099449644 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA159129 |
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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 |
|---|---|---|---|
| 194214 | WA | L&I | |
| 8415937 | WA | -- | |
| 500648665 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Catherine C Black by the Centers for Medicare & Medicaid Services?
The Catherine C Black has been assigned the NPI (National Provider Identifier) 1780613018. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Catherine C Black's physical address?
The Catherine C Black is physically located at Po Box 331, in the city of Liberty Lake, WA, with the postal code 990190331.
What is Catherine C Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Catherine C Black is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When was the Catherine C Black's 1780613018 issued?
The Catherine C Black's 1780613018 was issued on 2006-06-30.
As of what date was the information pertaining to Catherine C Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Catherine C Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-01.
NPI Number: 1255391348
Address: 2331 N State Road 7, Lauderdale Lakes, FL