Dan Ecclestone is a Physician Assistant in Cary, North Carolina. Dan Ecclestone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dan Ecclestone is 1356424501. The last update date is 2014-08-29.
Dan Ecclestone's current location address is 200 Wellesley Trade Ln, Cary, North Carolina. You can contact this provider via phone number 9193637546 and fax number 9193633616. The mailing address for Dan Ecclestone is 200 Wellesley Trade Ln, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dan Ecclestone |
|---|---|
| Address | 200 Wellesley Trade Ln, Cary, North Carolina |
| Phone Number | 9193637546 |
| Fax Number | 9193633616 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356424501 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 200 Wellesley Trade Ln |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 275195576 |
| Phone Number | 9193637546 |
| Fax Number | 9193633616 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102547 |
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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 |
|---|---|---|---|
| 198486 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dan Ecclestone by the Centers for Medicare & Medicaid Services?
The Dan Ecclestone has been assigned the NPI (National Provider Identifier) 1356424501 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Dan Ecclestone?
The Dan Ecclestone is situated at 200 Wellesley Trade Ln, in the city of Cary, state of NC, with the zip code 275195576.
What is Dan Ecclestone's area of expertise and its corresponding taxonomy classification?
The Dan Ecclestone's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Dan Ecclestone receive its 1356424501 assignment?
The Dan Ecclestone was assigned its 1356424501 on 2006-10-23, which is the date when this unique identifier was issued to the organization.
When was the Dan Ecclestone's information last updated?
The Dan Ecclestone's information was last updated on 2014-08-29.