Criselda Bazan is a Clinical in Holland, Michigan. Criselda Bazan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Criselda Bazan is 1487691358. The last update date is 2007-10-30.
Criselda Bazan's current location address is 854 Washington Ave, Holland, Michigan. You can contact this provider via phone number 6163553926 and fax number 6163936651. The mailing address for Criselda Bazan is 854 Washington Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Criselda Bazan |
|---|---|
| Address | 854 Washington Ave, Holland, Michigan |
| Phone Number | 6163553926 |
| Fax Number | 6163936651 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1487691358 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 854 Washington Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494237144 |
| Phone Number | 6163553926 |
| Fax Number | 6163936651 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801079859 |
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What is the unique identifier code issued to Criselda Bazan by the Centers for Medicare & Medicaid Services?
The Criselda Bazan has been assigned the NPI (National Provider Identifier) 1487691358. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Criselda Bazan's facilities are geographically located?
The facilities of Criselda Bazan are physically situated at the following location: 854 Washington Ave, Holland, MI, 494237144.
What is Criselda Bazan's area of expertise and its corresponding taxonomy classification?
The Criselda Bazan's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1487691358 to Criselda Bazan?
The Centers for Medicare & Medicaid Services assigned the 1487691358 to Criselda Bazan on 2006-06-01.
As of what date were the Criselda Bazan's details last updated?
The information pertaining to the Criselda Bazan, including its address, specialty, and other details, was most recently updated on 2007-10-30.