Susan M Cooley in Rutland - Physician Assistant

Susan M Cooley - NPI 1437159340

Susan M Cooley is a Physician Assistant in Rutland, Vermont. Susan M Cooley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan M Cooley is 1437159340. The last update date is 2007-07-08.

Susan M Cooley's current location address is 69 Allen St, Rutland, Vermont. You can contact this provider via phone number 8027753314 and fax number 8027759617. The mailing address for Susan M Cooley is 69 Allen St, Rutland, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan M Cooley
Address 69 Allen St, Rutland, Vermont
Phone Number 8027753314
Fax Number 8027759617
Sole Proprietor X
Credentials P.A.

NPI Number Detail

NPI Number 1437159340
Provider Enumeration Date 2005-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 69 Allen St
City Rutland
State Vermont (VT)
Post Code 57014564
Phone Number 8027753314
Fax Number 8027759617

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 055-0030599
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OAP1767 VT --

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FAQs about Susan M Cooley

What is the unique 10-digit identification code assigned to Susan M Cooley by the Centers for Medicare & Medicaid Services?

The Susan M Cooley has been issued the NPI (National Provider Identifier) 1437159340, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

What is Susan M Cooley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan M Cooley is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Susan M Cooley receive its 1437159340?

The Susan M Cooley was issued its 1437159340 on 2005-07-21, which is the date when the organization was assigned this unique identifier.

On what date did the Susan M Cooley receive its 1437159340 assignment from the Centers for Medicare & Medicaid Services?

The Susan M Cooley was assigned its 1437159340 by the Centers for Medicare & Medicaid Services on 2005-07-21.

As of what date were the details related to Susan M Cooley most recently updated or revised?

The information pertaining to Susan M Cooley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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