Michael Benjamin Smith in Fairchild Afb - Physician Assistant
Michael Benjamin Smith - NPI 1124074943
Michael Benjamin Smith is a Physician Assistant in Fairchild Afb, Washington. Michael Benjamin Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Benjamin Smith is 1124074943. The last update date is 2007-07-08.
Michael Benjamin Smith's current location address is 2505 S Denver St, Fairchild Afb, Washington. You can contact this provider via phone number 5902475414. The mailing address for Michael Benjamin Smith is 2505 S Denver St, Fairchild Afb, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Benjamin Smith |
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Address | 2505 S Denver St, Fairchild Afb, Washington |
Phone Number | 5902475414 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1124074943 |
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Provider Enumeration Date | 2006-05-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2505 S Denver St |
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City | Fairchild Afb |
State | Washington (WA) |
Post Code | 990118650 |
Phone Number | 5902475414 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA10004669 |
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 |
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PA10004669 | WA | WA STATE MED LICENSE | |
1030141 | NCCPA NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Benjamin Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Benjamin Smith has been assigned the NPI (National Provider Identifier) 1124074943. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michael Benjamin Smith?
The Michael Benjamin Smith is physically situated at 2505 S Denver St, in the city of Fairchild Afb, state of WA, with the postal code 990118650.
What is Michael Benjamin Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Benjamin Smith is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124074943 to Michael Benjamin Smith?
The Centers for Medicare & Medicaid Services originally issued the 1124074943 to Michael Benjamin Smith on 2006-05-25.
As of what date was the information pertaining to Michael Benjamin Smith, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Benjamin Smith, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.