Courtney L Converse in Manitowoc - Physician Assistant
Courtney L Converse - NPI 1699743872
Courtney L Converse is a Physician Assistant in Manitowoc, Wisconsin. Courtney L Converse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Courtney L Converse is 1699743872. The last update date is 2022-06-01.
Courtney L Converse's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Courtney L Converse is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney L Converse |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1699743872 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2022-06-01 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004349 |
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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 |
|---|---|---|---|
| 1417961137 | MI | BCBS - BRONSON | |
| 1699743872 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Courtney L Converse by the Centers for Medicare & Medicaid Services?
The Courtney L Converse has been assigned the NPI (National Provider Identifier) 1699743872 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Courtney L Converse's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Courtney L Converse is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Courtney L Converse receive the assignment of its 1699743872 from the Centers for Medicare & Medicaid Services?
The Courtney L Converse was issued its 1699743872 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information regarding Courtney L Converse most recently updated?
The details pertaining to the Courtney L Converse, including its address, specialty, and other relevant information, were last refreshed on 2022-06-01.
As of what date was the information pertaining to Courtney L Converse, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Courtney L Converse, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-01.