Kevin John Brochu in Williston - Physician Assistant
Kevin John Brochu - NPI 1518991728
Kevin John Brochu is a Physician Assistant in Williston, Vermont. Kevin John Brochu practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin John Brochu is 1518991728. The last update date is 2013-08-09.
Kevin John Brochu's current location address is 76 Slate Barn Dr, Williston, Vermont. You can contact this provider via phone number 8028792983. The mailing address for Kevin John Brochu is 76 Slate Barn Dr, Williston, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin John Brochu |
|---|---|
| Address | 76 Slate Barn Dr, Williston, Vermont |
| Phone Number | 8028792983 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1518991728 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2013-08-09 |
Provider Mailing Address Detail
| Address | 76 Slate Barn Dr |
|---|---|
| City | Williston |
| State | Vermont (VT) |
| Post Code | 54955344 |
| Phone Number | 8028792983 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 55-0030269 |
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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 |
|---|---|---|---|
| 9000288 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin John Brochu by the Centers for Medicare & Medicaid Services?
The Kevin John Brochu has been issued the NPI (National Provider Identifier) 1518991728, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kevin John Brochu's facilities are geographically located?
The facilities of Kevin John Brochu are physically situated at the following location: 76 Slate Barn Dr, Williston, VT, 54955344.
What is the Kevin John Brochu's area of specialization and corresponding taxonomy classification?
The Kevin John Brochu's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518991728 to Kevin John Brochu?
The Centers for Medicare & Medicaid Services originally issued the 1518991728 to Kevin John Brochu on 2006-07-11.
When was the information regarding Kevin John Brochu, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin John Brochu, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-09.
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