Jacques P Stassart in Woodbury - Specialist
Jacques P Stassart - NPI 1043296742
Jacques P Stassart is a Specialist in Woodbury, Minnesota. Jacques P Stassart practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jacques P Stassart is 1043296742. The last update date is 2007-07-08.
Jacques P Stassart's current location address is 2101 Woodwinds Dr, Woodbury, Minnesota. You can contact this provider via phone number 6512226050 and fax number 6512225975. The mailing address for Jacques P Stassart is 2101 Woodwinds Dr, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacques P Stassart |
|---|---|
| Address | 2101 Woodwinds Dr, Woodbury, Minnesota |
| Phone Number | 6512226050 |
| Fax Number | 6512225975 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043296742 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2101 Woodwinds Dr |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551252525 |
| Phone Number | 6512226050 |
| Fax Number | 6512225975 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31216 |
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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. |
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What is the unique provider identifier assigned to Jacques P Stassart?
The Jacques P Stassart has been issued the NPI (National Provider Identifier) 1043296742 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jacques P Stassart is physically located?
The Jacques P Stassart is physically situated at the following address: 2101 Woodwinds Dr, Woodbury, MN, 551252525.
What is Jacques P Stassart's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacques P Stassart's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043296742 to Jacques P Stassart?
The Jacques P Stassart received its 1043296742 assignment from the Centers for Medicare & Medicaid Services on 2005-12-15.
As of what date was the information regarding Jacques P Stassart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacques P Stassart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA