Bassilleann P.A. in Clearwater - General Practice
Bassilleann P.A. - NPI 1962684696
Bassilleann P.A. is a General Practice in Clearwater, Minnesota. Bassilleann P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bassilleann P.A. is 1962684696. The last update date is 2007-12-05.
Bassilleann P.A.'s current location address is Po Box 187, Clearwater, Minnesota. You can contact this provider via phone number 3205586810 and fax number 3205586006. The mailing address for Bassilleann P.A. is Po Box 187, Clearwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bassilleann P.A. |
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Address | Po Box 187, Clearwater, Minnesota |
Phone Number | 3205586810 |
Fax Number | 3205586006 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Meyer Marie Anne |
Telephone Number | 3205586810 |
NPI Number Detail
NPI Number | 1962684696 |
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Provider Enumeration Date | 2007-12-05 |
Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
Address | Po Box 187 |
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City | Clearwater |
State | Minnesota (MN) |
Post Code | 553200187 |
Phone Number | 3205586810 |
Fax Number | 3205586006 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 11975 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Bassilleann P.A. by the Centers for Medicare & Medicaid Services?
The Bassilleann P.A. has been issued the NPI (National Provider Identifier) 1962684696 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bassilleann P.A.'s physical address?
The Bassilleann P.A. is physically located at Po Box 187, in the city of Clearwater, MN, with the postal code 553200187.
What is the Bassilleann P.A.'s area of specialization and corresponding taxonomy classification?
The Bassilleann P.A.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Bassilleann P.A. receive the assignment of its 1962684696 from the Centers for Medicare & Medicaid Services?
The Bassilleann P.A. was issued its 1962684696 by the Centers for Medicare & Medicaid Services on 2007-12-05.
As of what date were the details pertaining to Bassilleann P.A. last refreshed?
The information related to the Bassilleann P.A., including its address, specialty, and other relevant details, was last updated on 2007-12-05.
NPI Number: 1124025044
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