Bradford Chandler Baisden in Lafayette - Specialist
Bradford Chandler Baisden - NPI 1659305092
Bradford Chandler Baisden is a Specialist in Lafayette, Indiana. Bradford Chandler Baisden practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bradford Chandler Baisden is 1659305092. The last update date is 2022-11-14.
Bradford Chandler Baisden's current location address is 823 Park East Blvd Ste B, Lafayette, Indiana. You can contact this provider via phone number 7652970975 and fax number 7652970974. The mailing address for Bradford Chandler Baisden is 823 Park East Blvd Ste B, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradford Chandler Baisden |
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Address | 823 Park East Blvd Ste B, Lafayette, Indiana |
Phone Number | 7652970975 |
Fax Number | 7652970974 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1659305092 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2022-11-14 |
Provider Mailing Address Detail
Address | 823 Park East Blvd Ste B |
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City | Lafayette |
State | Indiana (IN) |
Post Code | 479050811 |
Phone Number | 7652970975 |
Fax Number | 7652970974 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 10165 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
079XN | NC | BCBS PROVIDER NUMBER |
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What is the unique 10-digit identifier code issued to Bradford Chandler Baisden by the Centers for Medicare & Medicaid Services?
The Bradford Chandler Baisden has been assigned the NPI (National Provider Identifier) 1659305092 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bradford Chandler Baisden located?
The Bradford Chandler Baisden is located at 823 Park East Blvd Ste B, Lafayette, IN 479050811.
What is the Bradford Chandler Baisden's specialty and taxonomy code?
The Bradford Chandler Baisden's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659305092 to Bradford Chandler Baisden?
The Bradford Chandler Baisden received its 1659305092 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information pertaining to Bradford Chandler Baisden, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradford Chandler Baisden, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-14.
NPI Number: 1982607784
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