Brendan J Nashold in Beaver Dam - Physician Assistant
Brendan J Nashold - NPI 1760433189
Brendan J Nashold is a Physician Assistant in Beaver Dam, Wisconsin. Brendan J Nashold practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brendan J Nashold is 1760433189. The last update date is 2021-02-11.
Brendan J Nashold's current location address is 130 Corporate Dr, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208773102 and fax number 9208858790. The mailing address for Brendan J Nashold is 130 Corporate Dr, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brendan J Nashold |
|---|---|
| Address | 130 Corporate Dr, Beaver Dam, Wisconsin |
| Phone Number | 9208773102 |
| Fax Number | 9208858790 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760433189 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2021-02-11 |
Provider Mailing Address Detail
| Address | 130 Corporate Dr |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539163116 |
| Phone Number | 9208773102 |
| Fax Number | 9208858790 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 861-023 |
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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 |
|---|---|---|---|
| 1760433189 | WI | -- |
Post Comment/ Review Below
What is the Brendan J Nashold's 1760433189?
The Brendan J Nashold's NPI (National Provider Identifier) Number is 1760433189. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brendan J Nashold is located?
The Brendan J Nashold is situated at the following address: 130 Corporate Dr, Beaver Dam, WI, 539163116.
What is Brendan J Nashold's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brendan J Nashold is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Brendan J Nashold receive its 1760433189?
The Brendan J Nashold was issued its 1760433189 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Brendan J Nashold most recently updated or revised?
The information pertaining to Brendan J Nashold, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-11.