Ryan Beine is a Physician Assistant in Racine, Wisconsin. Ryan Beine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ryan Beine is 1104856376. The last update date is 2007-07-09.
Ryan Beine's current location address is 3805b Spring St, Racine, Wisconsin. You can contact this provider via phone number 2626874479 and fax number 2626875375. The mailing address for Ryan Beine is 3805b Spring St, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Beine |
|---|---|
| Address | 3805b Spring St, Racine, Wisconsin |
| Phone Number | 2626874479 |
| Fax Number | 2626875375 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104856376 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3805b Spring St |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534051641 |
| Phone Number | 2626874479 |
| Fax Number | 2626875375 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1367-023 |
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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 |
|---|---|---|---|
| 1367-023 | WI | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ryan Beine?
The Ryan Beine has been issued the NPI (National Provider Identifier) 1104856376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ryan Beine?
The Ryan Beine is physically situated at 3805B Spring St, in the city of Racine, state of WI, with the postal code 534051641.
What is Ryan Beine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ryan Beine's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Ryan Beine receive the assignment of its 1104856376 from the Centers for Medicare & Medicaid Services?
The Ryan Beine was issued its 1104856376 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information regarding Ryan Beine most recently updated?
The details pertaining to the Ryan Beine, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.