Jeffrey M Bastasic in Menasha - Family Medicine
Jeffrey M Bastasic - NPI 1164547600
Jeffrey M Bastasic is a Family Medicine in Menasha, Wisconsin. Jeffrey M Bastasic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey M Bastasic is 1164547600. The last update date is 2021-01-06.
Jeffrey M Bastasic's current location address is 878 W Airport Rd, Menasha, Wisconsin. You can contact this provider via phone number 9207275982. The mailing address for Jeffrey M Bastasic is 878 W Airport Rd, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey M Bastasic |
|---|---|
| Address | 878 W Airport Rd, Menasha, Wisconsin |
| Phone Number | 9207275982 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164547600 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2021-01-06 |
Provider Mailing Address Detail
| Address | 878 W Airport Rd |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549521461 |
| Phone Number | 9207275982 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 52366 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey M Bastasic by the Centers for Medicare & Medicaid Services?
The Jeffrey M Bastasic has been issued the NPI (National Provider Identifier) 1164547600 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeffrey M Bastasic's physical address?
The Jeffrey M Bastasic is physically located at 878 W Airport Rd, in the city of Menasha, WI, with the postal code 549521461.
What is the area of specialization for Jeffrey M Bastasic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey M Bastasic is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Jeffrey M Bastasic receive the assignment of its 1164547600 from the Centers for Medicare & Medicaid Services?
The Jeffrey M Bastasic was issued its 1164547600 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date was the information pertaining to Jeffrey M Bastasic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey M Bastasic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-01-06.
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