Julie A Theriault in Elk Grove - Physician Assistant

Julie A Theriault - NPI 1952492936

Julie A Theriault is a Physician Assistant in Elk Grove, California. Julie A Theriault practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Julie A Theriault is 1952492936. The last update date is 2015-07-27.

Julie A Theriault's current location address is 8170 Laguna Blvd, Elk Grove, California. You can contact this provider via phone number 9166915900 and fax number 9166916747. The mailing address for Julie A Theriault is 8170 Laguna Blvd, Elk Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie A Theriault
Address 8170 Laguna Blvd, Elk Grove, California
Phone Number 9166915900
Fax Number 9166916747
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1952492936
Provider Enumeration Date 2006-09-27
Last Updated Date 2015-07-27

Provider Mailing Address Detail

Address 8170 Laguna Blvd
City Elk Grove
State California (CA)
Post Code 957587901
Phone Number 9166915900
Fax Number 9166916747

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA12102
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0PA121020 CA --

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FAQs about Julie A Theriault

What is the unique identification code assigned to Julie A Theriault by the Centers for Medicare & Medicaid Services?

The Julie A Theriault has been issued the NPI (National Provider Identifier) 1952492936. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

What is the unique 10-digit identifier code assigned to Julie A Theriault by the Centers for Medicare & Medicaid Services?

The Julie A Theriault has been issued the NPI (National Provider Identifier) 1952492936 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Julie A Theriault is located?

The Julie A Theriault is situated at the following address: 8170 Laguna Blvd, Elk Grove, CA, 957587901.

On what date did Julie A Theriault receive its 1952492936 assignment from the Centers for Medicare & Medicaid Services?

The Julie A Theriault was assigned its 1952492936 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Julie A Theriault, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Julie A Theriault, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-27.

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