Stacey Waddington in Shelbyville - Physician Assistant
Stacey Waddington - NPI 1154578615
Stacey Waddington is a Physician Assistant in Shelbyville, Illinois. Stacey Waddington practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey Waddington is 1154578615. The last update date is 2022-02-02.
Stacey Waddington's current location address is 200 S Cedar St, Shelbyville, Illinois. You can contact this provider via phone number 2177744400 and fax number 2177746445. The mailing address for Stacey Waddington is 200 S Cedar St, Shelbyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Waddington |
|---|---|
| Address | 200 S Cedar St, Shelbyville, Illinois |
| Phone Number | 2177744400 |
| Fax Number | 2177746445 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154578615 |
|---|---|
| Provider Enumeration Date | 2008-08-26 |
| Last Updated Date | 2022-02-02 |
Provider Mailing Address Detail
| Address | 200 S Cedar St |
|---|---|
| City | Shelbyville |
| State | Illinois (IL) |
| Post Code | 625651838 |
| Phone Number | 2177744400 |
| Fax Number | 2177746445 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-003283 |
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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 Stacey Waddington's 1154578615?
The Stacey Waddington's NPI (National Provider Identifier) Number is 1154578615. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stacey Waddington's facilities are geographically located?
The facilities of Stacey Waddington are physically situated at the following location: 200 S Cedar St, Shelbyville, IL, 625651838.
What is the Stacey Waddington's specialty and taxonomy code?
The Stacey Waddington's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Stacey Waddington receive the assignment of its 1154578615 from the Centers for Medicare & Medicaid Services?
The Stacey Waddington was issued its 1154578615 by the Centers for Medicare & Medicaid Services on 2008-08-26.
When was the Stacey Waddington's information last updated?
The Stacey Waddington's information was last updated on 2022-02-02.
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