Chippewa Valley Orthopedics And Sports Medicine Clinic Sc in Altoona - Physician Assistant
Chippewa Valley Orthopedics And Sports Medicine Clinic Sc - NPI 1699778829
Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is a Physician Assistant in Altoona, Wisconsin. Chippewa Valley Orthopedics And Sports Medicine Clinic Sc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is 1699778829. The last update date is 2023-09-14.
Chippewa Valley Orthopedics And Sports Medicine Clinic Sc's current location address is 1200 Oakleaf Way, Altoona, Wisconsin. You can contact this provider via phone number 7158321400 and fax number 7158324187. The mailing address for Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is 1200 Oakleaf Way, Altoona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chippewa Valley Orthopedics And Sports Medicine Clinic Sc |
|---|---|
| Address | 1200 Oakleaf Way, Altoona, Wisconsin |
| Phone Number | 7158321400 |
| Fax Number | 7158324187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Crow Jay Austin |
| Credentials | M.D. |
| Telephone Number | 7158321400 |
NPI Number Detail
| NPI Number | 1699778829 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2023-09-14 |
Provider Mailing Address Detail
| Address | 1200 Oakleaf Way |
|---|---|
| City | Altoona |
| State | Wisconsin (WI) |
| Post Code | 5472022450 |
| Phone Number | 7158321400 |
| Fax Number | 7158324187 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 100249466 | WI | -- | |
| 21278700 | WI | -- | |
| 220399400 | WI | OWCP | |
| 2416091 | WI | UNITED HEALTHCARE | |
| 542R9CH | WI | BCBS OF MN | |
| 41741700 | WI | -- | |
| ========= | WI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Chippewa Valley Orthopedics And Sports Medicine Clinic Sc by the Centers for Medicare & Medicaid Services?
The Chippewa Valley Orthopedics And Sports Medicine Clinic Sc has been assigned the NPI (National Provider Identifier) 1699778829. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Chippewa Valley Orthopedics And Sports Medicine Clinic Sc by the Centers for Medicare & Medicaid Services?
The Chippewa Valley Orthopedics And Sports Medicine Clinic Sc has been assigned the NPI (National Provider Identifier) 1699778829 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Chippewa Valley Orthopedics And Sports Medicine Clinic Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chippewa Valley Orthopedics And Sports Medicine Clinic Sc's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Chippewa Valley Orthopedics And Sports Medicine Clinic Sc receive the assignment of its 1699778829 from the Centers for Medicare & Medicaid Services?
The Chippewa Valley Orthopedics And Sports Medicine Clinic Sc was issued its 1699778829 by the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the information regarding Chippewa Valley Orthopedics And Sports Medicine Clinic Sc most recently updated?
The details pertaining to the Chippewa Valley Orthopedics And Sports Medicine Clinic Sc, including its address, specialty, and other relevant information, were last refreshed on 2023-09-14.
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