Mr. Nathan D Counsellor, PA-C
Physician Assistant in Haddon Township, New Jersey
1992270417- Practice location
- 201 Haddon Ave, Haddon Township, NJ 08108-2860
- Phone
- 856-854-0300
- Fax
- —
- Last updated
- October 11, 2018
Nathan Douglas Counsellor is a Physician Assistant based in Haddon Township, NJ. Nathan Douglas Counsellor practices in Haddon Township, NJ and has the professional credentials of PA-C. The NPI Number for Nathan Douglas Counsellor is 1992270417 and holds a License No. 25MP00497400 (NJ). The current practice location address for Nathan Douglas Counsellor is 201 Haddon Ave, Haddon Township, NJ 08108-2860 and can be reached out via phone at 856-854-0300.
Provider Profile Details
- NPI Number
- 1992270417
- Provider Name
- Nathan Douglas Counsellor
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 201 Haddon Ave, Haddon Township, NJ 08108-2860
- Phone Number
- 856-854-0300
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 11, 2018
- Last Update Date
- October 11, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Haddon Ave
Haddon Township, NJ 08108-2860 - City
- Haddon Township
- State
- New Jersey
- Zip
- 08108-2860
- Phone Number
- 856-854-0300
Provider Business Mailing Address Details
- Address
- 408 Sheppard Ave
Runnemede, NJ 08078-1523 - City
- Runnemede
- State
- NJ
- Zip
- 08078-1523
- Phone Number
- 856-371-7214
License Information
- License Number
- 25MP00497400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Nathan D Counsellor, PA-C?
The NPI number of Mr. Nathan D Counsellor, PA-C is 1992270417. It was assigned on October 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Nathan D Counsellor, PA-C?
Mr. Nathan D Counsellor, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00497400.
Where does Mr. Nathan D Counsellor, PA-C practice?
The practice location is 201 Haddon Ave, Haddon Township, NJ 08108-2860. The office can be reached at 856-854-0300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992270417 directly on the NPPES registry website.