Charles Daniel Godfrey in Tomah - Physician Assistant
Charles Daniel Godfrey - NPI 1467497040
Charles Daniel Godfrey is a Physician Assistant in Tomah, Wisconsin. Charles Daniel Godfrey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Daniel Godfrey is 1467497040. The last update date is 2007-07-08.
Charles Daniel Godfrey's current location address is Po Box 116, Tomah, Wisconsin. You can contact this provider via phone number 6083721798. The mailing address for Charles Daniel Godfrey is Po Box 116, Tomah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Daniel Godfrey |
|---|---|
| Address | Po Box 116, Tomah, Wisconsin |
| Phone Number | 6083721798 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467497040 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 116 |
|---|---|
| City | Tomah |
| State | Wisconsin (WI) |
| Post Code | 546600116 |
| Phone Number | 6083721798 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1441-023 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Charles Daniel Godfrey by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Daniel Godfrey has been assigned the NPI (National Provider Identifier) 1467497040. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Charles Daniel Godfrey is physically located?
The Charles Daniel Godfrey is physically situated at the following address: Po Box 116, Tomah, WI, 546600116.
What is Charles Daniel Godfrey's area of expertise and its corresponding taxonomy classification?
The Charles Daniel Godfrey's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Charles Daniel Godfrey receive the assignment of its 1467497040 from the Centers for Medicare & Medicaid Services?
The Charles Daniel Godfrey was issued its 1467497040 by the Centers for Medicare & Medicaid Services on 2006-06-18.
As of what date were the Charles Daniel Godfrey's details last updated?
The information pertaining to the Charles Daniel Godfrey, including its address, specialty, and other details, was most recently updated on 2007-07-08.