Jerome A Chaussee is a Clinical in Bismarck, North Dakota. Jerome A Chaussee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome A Chaussee is 1982640546. The last update date is 2007-07-08.
Jerome A Chaussee's current location address is 1237 W Divide Ave, Bismarck, North Dakota. You can contact this provider via phone number 7013288869 and fax number 7013288900. The mailing address for Jerome A Chaussee is 1237 W Divide Ave, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerome A Chaussee |
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Address | 1237 W Divide Ave, Bismarck, North Dakota |
Phone Number | 7013288869 |
Fax Number | 7013288900 |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1982640546 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1237 W Divide Ave |
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City | Bismarck |
State | North Dakota (ND) |
Post Code | 585011208 |
Phone Number | 7013288869 |
Fax Number | 7013288900 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CHA-49-5424 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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24081 | BCBS OF ND |
Post Comment/ Review Below
What is the unique identifier code issued to Jerome A Chaussee by the Centers for Medicare & Medicaid Services (CMS)?
The Jerome A Chaussee has been assigned the NPI (National Provider Identifier) 1982640546. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerome A Chaussee?
The Jerome A Chaussee is situated at 1237 W Divide Ave, in the city of Bismarck, state of ND, with the zip code 585011208.
What is the Jerome A Chaussee's area of specialization and corresponding taxonomy classification?
The Jerome A Chaussee's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Jerome A Chaussee receive its 1982640546?
The Jerome A Chaussee was issued its 1982640546 on 2006-06-21, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Jerome A Chaussee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerome A Chaussee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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