Sean Creston Soare in Rockford - Physician Assistant
Sean Creston Soare - NPI 1548242738
Sean Creston Soare is a Physician Assistant in Rockford, Illinois. Sean Creston Soare practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sean Creston Soare is 1548242738. The last update date is 2023-08-03.
Sean Creston Soare's current location address is 2902 Mcfarland Rd, Rockford, Illinois. You can contact this provider via phone number 8153162100 and fax number 8153162099. The mailing address for Sean Creston Soare is 2902 Mcfarland Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Creston Soare |
|---|---|
| Address | 2902 Mcfarland Rd, Rockford, Illinois |
| Phone Number | 8153162100 |
| Fax Number | 8153162099 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1548242738 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
| Address | 2902 Mcfarland Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611076801 |
| Phone Number | 8153162100 |
| Fax Number | 8153162099 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 7396-23 |
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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 Sean Creston Soare's unique identification number?
The Sean Creston Soare has been assigned the NPI (National Provider Identifier) Number 1548242738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Sean Creston Soare is geographically located?
The Sean Creston Soare is physically situated at the following location: 2902 Mcfarland Rd, Rockford, IL, 611076801.
What is the Sean Creston Soare's specialty and taxonomy code?
The Sean Creston Soare's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Sean Creston Soare receive its 1548242738 assignment from the Centers for Medicare & Medicaid Services?
The Sean Creston Soare was assigned its 1548242738 on 2005-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Sean Creston Soare most recently updated or revised?
The information pertaining to Sean Creston Soare, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-03.