Thomas C. Mitchell in Stockton - Physician Assistant
Thomas C. Mitchell - NPI 1013091354
Thomas C. Mitchell is a Physician Assistant in Stockton, California. Thomas C. Mitchell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas C. Mitchell is 1013091354. The last update date is 2007-10-10.
Thomas C. Mitchell's current location address is Po Box 1020, Stockton, California. You can contact this provider via phone number 2094686937 and fax number 2094687042. The mailing address for Thomas C. Mitchell is Po Box 1020, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas C. Mitchell |
|---|---|
| Address | Po Box 1020, Stockton, California |
| Phone Number | 2094686937 |
| Fax Number | 2094687042 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1013091354 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | Po Box 1020 |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952013120 |
| Phone Number | 2094686937 |
| Fax Number | 2094687042 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17854 |
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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 |
|---|---|---|---|
| PA17854 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas C. Mitchell by the Centers for Medicare & Medicaid Services?
The Thomas C. Mitchell has been issued the NPI (National Provider Identifier) 1013091354 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Thomas C. Mitchell is geographically located?
The Thomas C. Mitchell is physically situated at the following location: Po Box 1020, Stockton, CA, 952013120.
What is the Thomas C. Mitchell's area of specialization and corresponding taxonomy classification?
The Thomas C. Mitchell's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas C. Mitchell receive the assignment of its 1013091354 from the Centers for Medicare & Medicaid Services?
The Thomas C. Mitchell was issued its 1013091354 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details related to Thomas C. Mitchell most recently updated or revised?
The information pertaining to Thomas C. Mitchell, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-10.