Tyrell C Erlebach in Boise - Physician Assistant
Tyrell C Erlebach - NPI 1033391396
Tyrell C Erlebach is a Physician Assistant in Boise, Idaho. Tyrell C Erlebach practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tyrell C Erlebach is 1033391396. The last update date is 2012-10-23.
Tyrell C Erlebach's current location address is 6140 W. Curtisian Ste 102, Boise, Idaho. You can contact this provider via phone number 2083677787 and fax number 2083677798. The mailing address for Tyrell C Erlebach is 6140 W. Curtisian Ste 102, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tyrell C Erlebach |
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Address | 6140 W. Curtisian Ste 102, Boise, Idaho |
Phone Number | 2083677787 |
Fax Number | 2083677798 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1033391396 |
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Provider Enumeration Date | 2007-11-28 |
Last Updated Date | 2012-10-23 |
Provider Mailing Address Detail
Address | 6140 W. Curtisian Ste 102 |
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City | Boise |
State | Idaho (ID) |
Post Code | 837040109 |
Phone Number | 2083677787 |
Fax Number | 2083677798 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 0010-01031 |
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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What is the unique 10-digit identifier code issued to Tyrell C Erlebach by the Centers for Medicare & Medicaid Services?
The Tyrell C Erlebach has been assigned the NPI (National Provider Identifier) 1033391396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tyrell C Erlebach is located?
The Tyrell C Erlebach is situated at the following address: 6140 W. Curtisian Ste 102, Boise, ID, 837040109.
What is the Tyrell C Erlebach's area of specialization and corresponding taxonomy classification?
The Tyrell C Erlebach's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Tyrell C Erlebach receive its 1033391396 assignment?
The Tyrell C Erlebach was assigned its 1033391396 on 2007-11-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Tyrell C Erlebach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tyrell C Erlebach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-23.
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