Shannon L. Huettl in Appleton - Physician Assistant
Shannon L. Huettl - NPI 1194752824
Shannon L. Huettl is a Physician Assistant in Appleton, Wisconsin. Shannon L. Huettl practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon L. Huettl is 1194752824. The last update date is 2019-02-15.
Shannon L. Huettl's current location address is 122 E College Ave, Appleton, Wisconsin. You can contact this provider via phone number 9209963264 and fax number 9208305970. The mailing address for Shannon L. Huettl is 122 E College Ave, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L. Huettl |
|---|---|
| Address | 122 E College Ave, Appleton, Wisconsin |
| Phone Number | 9209963264 |
| Fax Number | 9208305970 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1194752824 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2019-02-15 |
Provider Mailing Address Detail
| Address | 122 E College Ave |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549115794 |
| Phone Number | 9209963264 |
| Fax Number | 9208305970 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1435 |
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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 |
|---|---|---|---|
| 41967100 | WI | -- |
Post Comment/ Review Below
Where is the Shannon L. Huettl located?
The Shannon L. Huettl is located at 122 E College Ave, Appleton, WI 549115794.
Could you please provide the complete physical location address of Shannon L. Huettl?
The Shannon L. Huettl is physically situated at 122 E College Ave, in the city of Appleton, state of WI, with the postal code 549115794.
What is the area of specialization for Shannon L. Huettl, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon L. Huettl is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Shannon L. Huettl's 1194752824 issued?
The Shannon L. Huettl's 1194752824 was issued on 2006-06-27.
On what date did the Centers for Medicare & Medicaid Services issue the 1194752824 to Shannon L. Huettl?
The Shannon L. Huettl received its 1194752824 assignment from the Centers for Medicare & Medicaid Services on 2006-06-27.