Becky Lynn Jarac Kohl in Fort Atkinson - Physician Assistant

Becky Lynn Jarac Kohl - NPI 1811018468

Becky Lynn Jarac Kohl is a Physician Assistant in Fort Atkinson, Wisconsin. Becky Lynn Jarac Kohl practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Becky Lynn Jarac Kohl is 1811018468. The last update date is 2008-09-17.

Becky Lynn Jarac Kohl's current location address is 611 E Sherman Ave, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205685330 and fax number 9205685075. The mailing address for Becky Lynn Jarac Kohl is 611 E Sherman Ave, Fort Atkinson, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Becky Lynn Jarac Kohl
Address 611 E Sherman Ave, Fort Atkinson, Wisconsin
Phone Number 9205685330
Fax Number 9205685075
Sole Proprietor N
Credentials MS, PA-C

NPI Number Detail

NPI Number 1811018468
Provider Enumeration Date 2007-04-02
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 611 E Sherman Ave
City Fort Atkinson
State Wisconsin (WI)
Post Code 535381960
Phone Number 9205685330
Fax Number 9205685075

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1576023
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
43023100 WI --

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FAQs about Becky Lynn Jarac Kohl

What is the unique provider identifier assigned to Becky Lynn Jarac Kohl?

The Becky Lynn Jarac Kohl has been issued the NPI (National Provider Identifier) 1811018468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Becky Lynn Jarac Kohl is physically located?

The Becky Lynn Jarac Kohl is situated at the following address: 611 E Sherman Ave, Fort Atkinson, WI 535381960.

What is the area of specialization for Becky Lynn Jarac Kohl, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Becky Lynn Jarac Kohl is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1811018468 to Becky Lynn Jarac Kohl?

The Centers for Medicare & Medicaid Services assigned the 1811018468 to Becky Lynn Jarac Kohl on 2007-04-02.

As of what date were the details related to Becky Lynn Jarac Kohl most recently updated or revised?

The information pertaining to Becky Lynn Jarac Kohl, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-17.

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