Mark S Vollrath in Mount Vernon - Physician Assistant
Mark S Vollrath - NPI 1184623423
Mark S Vollrath is a Physician Assistant in Mount Vernon, Washington. Mark S Vollrath practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark S Vollrath is 1184623423. The last update date is 2011-03-31.
Mark S Vollrath's current location address is 1500 Continental Pl, Mount Vernon, Washington. You can contact this provider via phone number 3604247041 and fax number 3604248449. The mailing address for Mark S Vollrath is 1500 Continental Pl, Mount Vernon, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Vollrath |
|---|---|
| Address | 1500 Continental Pl, Mount Vernon, Washington |
| Phone Number | 3604247041 |
| Fax Number | 3604248449 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184623423 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2011-03-31 |
Provider Mailing Address Detail
| Address | 1500 Continental Pl |
|---|---|
| City | Mount Vernon |
| State | Washington (WA) |
| Post Code | 982734105 |
| Phone Number | 3604247041 |
| Fax Number | 3604248449 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA100000862 |
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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 |
|---|---|---|---|
| 127494 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Mark S Vollrath's 1184623423?
The Mark S Vollrath's NPI (National Provider Identifier) Number is 1184623423. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark S Vollrath's facilities are geographically located?
The facilities of Mark S Vollrath are physically situated at the following location: 1500 Continental Pl, Mount Vernon, WA, 982734105.
What is the Mark S Vollrath's area of specialization and corresponding taxonomy classification?
The Mark S Vollrath's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mark S Vollrath receive the assignment of its 1184623423 from the Centers for Medicare & Medicaid Services?
The Mark S Vollrath was issued its 1184623423 by the Centers for Medicare & Medicaid Services on 2005-07-19.
As of what date was the information regarding Mark S Vollrath, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark S Vollrath, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-31.
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