Brian T Laursen in Fort Wayne - Physician Assistant
Brian T Laursen - NPI 1164425187
Brian T Laursen is a Physician Assistant in Fort Wayne, Indiana. Brian T Laursen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian T Laursen is 1164425187. The last update date is 2023-09-19.
Brian T Laursen's current location address is Po Box 2526, Fort Wayne, Indiana. You can contact this provider via phone number 2604368686 and fax number 2604325075. The mailing address for Brian T Laursen is Po Box 2526, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian T Laursen |
|---|---|
| Address | Po Box 2526, Fort Wayne, Indiana |
| Phone Number | 2604368686 |
| Fax Number | 2604325075 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1164425187 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | Po Box 2526 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680125260 |
| Phone Number | 2604368686 |
| Fax Number | 2604325075 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000668A |
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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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What is the unique identifier code issued to Brian T Laursen by the Centers for Medicare & Medicaid Services?
The Brian T Laursen has been assigned the NPI (National Provider Identifier) 1164425187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brian T Laursen located?
The Brian T Laursen is located at Po Box 2526, Fort Wayne, IN 4680125260.
What is Brian T Laursen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian T Laursen's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Brian T Laursen's 1164425187 issued?
The Brian T Laursen's 1164425187 was issued on 2005-05-23.
When was the information regarding Brian T Laursen most recently updated?
The details pertaining to the Brian T Laursen, including its address, specialty, and other relevant information, were last refreshed on 2023-09-19.
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