Theodore 'Ted' Noble Smith in La Crosse - Physician Assistant
Theodore 'Ted' Noble Smith - NPI 1255333704
Theodore 'Ted' Noble Smith is a Physician Assistant in La Crosse, Wisconsin. Theodore 'Ted' Noble Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theodore 'Ted' Noble Smith is 1255333704. The last update date is 2018-07-26.
Theodore 'Ted' Noble Smith's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Theodore 'Ted' Noble Smith is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore 'Ted' Noble Smith |
---|---|
Address | 1836 South Ave, La Crosse, Wisconsin |
Phone Number | 6087827300 |
Fax Number | |
Sole Proprietor | N |
Credentials | P.A.-C. |
NPI Number Detail
NPI Number | 1255333704 |
---|---|
Provider Enumeration Date | 2005-08-15 |
Last Updated Date | 2018-07-26 |
Provider Mailing Address Detail
Address | 1836 South Ave |
---|---|
City | La Crosse |
State | Wisconsin (WI) |
Post Code | 546015429 |
Phone Number | 6087827300 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 922 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theodore 'Ted' Noble Smith?
The Theodore 'Ted' Noble Smith has been issued the NPI (National Provider Identifier) 1255333704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Theodore 'Ted' Noble Smith's facilities are situated?
The facilities of Theodore 'Ted' Noble Smith are physically located at the following address: 1836 South Ave, La Crosse, WI, 546015429.
What is Theodore 'Ted' Noble Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore 'Ted' Noble Smith's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Theodore 'Ted' Noble Smith receive its 1255333704 assignment?
The Theodore 'Ted' Noble Smith was assigned its 1255333704 on 2005-08-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Theodore 'Ted' Noble Smith most recently updated?
The details pertaining to the Theodore 'Ted' Noble Smith, including its address, specialty, and other relevant information, were last refreshed on 2018-07-26.