Broheen Joseph Elias in Berkeley - Physician Assistant

Broheen Joseph Elias - NPI 1164586681

Broheen Joseph Elias is a Physician Assistant in Berkeley, California. Broheen Joseph Elias practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Broheen Joseph Elias is 1164586681. The last update date is 2007-07-08.

Broheen Joseph Elias's current location address is 3000 Colby St, Berkeley, California. You can contact this provider via phone number 5105406800 and fax number 5105406805. The mailing address for Broheen Joseph Elias is 3000 Colby St, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Broheen Joseph Elias
Address 3000 Colby St, Berkeley, California
Phone Number 5105406800
Fax Number 5105406805
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1164586681
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3000 Colby St
City Berkeley
State California (CA)
Post Code 947052058
Phone Number 5105406800
Fax Number 5105406805

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA18545
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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FAQs about Broheen Joseph Elias

What is the unique 10-digit identifier code issued to Broheen Joseph Elias by the Centers for Medicare & Medicaid Services?

The Broheen Joseph Elias has been assigned the NPI (National Provider Identifier) 1164586681 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Broheen Joseph Elias's facilities are situated?

The facilities of Broheen Joseph Elias are physically located at the following address: 3000 Colby St, Berkeley, CA, 947052058.

What is Broheen Joseph Elias's specialized field of practice, and what is the corresponding taxonomy classification code?

The Broheen Joseph Elias's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1164586681 assigned to Broheen Joseph Elias?

The Broheen Joseph Elias was issued its 1164586681 on 2006-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Broheen Joseph Elias receive the assignment of its 1164586681 from the Centers for Medicare & Medicaid Services?

The Broheen Joseph Elias was issued its 1164586681 by the Centers for Medicare & Medicaid Services on 2006-12-20.

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