Jeffrey L Blickenstaff in Perham - Family Medicine
Jeffrey L Blickenstaff - NPI 1225056955
Jeffrey L Blickenstaff is a Family Medicine in Perham, Minnesota. Jeffrey L Blickenstaff practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey L Blickenstaff is 1225056955. The last update date is 2012-01-05.
Jeffrey L Blickenstaff's current location address is 665 3rd St Sw, Perham, Minnesota. You can contact this provider via phone number 2183464040 and fax number 2183464043. The mailing address for Jeffrey L Blickenstaff is 665 3rd St Sw, Perham, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Blickenstaff |
|---|---|
| Address | 665 3rd St Sw, Perham, Minnesota |
| Phone Number | 2183464040 |
| Fax Number | 2183464043 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225056955 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 665 3rd St Sw |
|---|---|
| City | Perham |
| State | Minnesota (MN) |
| Post Code | 565731108 |
| Phone Number | 2183464040 |
| Fax Number | 2183464043 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 27074 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Jeffrey L Blickenstaff by the Centers for Medicare & Medicaid Services?
The Jeffrey L Blickenstaff has been assigned the NPI (National Provider Identifier) 1225056955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jeffrey L Blickenstaff is geographically located?
The Jeffrey L Blickenstaff is physically situated at the following location: 665 3Rd St Sw, Perham, MN, 565731108.
What is the Jeffrey L Blickenstaff's specialty and taxonomy code?
The Jeffrey L Blickenstaff's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Jeffrey L Blickenstaff receive its 1225056955 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey L Blickenstaff was assigned its 1225056955 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeffrey L Blickenstaff's details last updated?
The information pertaining to the Jeffrey L Blickenstaff, including its address, specialty, and other details, was most recently updated on 2012-01-05.
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