Edward L Van Tassel Do Pc

LBN: Edward L Van Tassel Do Pc
Edward L Van Tassel Do Pc is an health care organization with primary practice located at 2200 Bryant Williams Dr Ste 1, Klamath Falls OR 97601-1121. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Edward L Van Tassel Do Pc can be contacted via phone (541) 884-7746, or through Gansberg, Jeannette L via phone (541) 274-2902.

Contact Information

Primary practice address
2200 Bryant Williams Dr Ste 1 Klamath Falls OR 97601-1121
Phone: (541) 884-7746
Fax: (541) 274-5705
Website:
Map and Directions
Authorized official contact:
Name: Gansberg, Jeannette L
Phone: (541) 274-2902

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DO25890 Oregon

Profile Details

NPI number 1578783189
LBN Legal business name Edward L Van Tassel Do Pc
DBA Doing business as
Authorized official Gansberg, Jeannette L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578783189 NPPES
Oregon Other 820591000 BLUE CROSS
Oregon MEDICAID 213618 BLUE CROSS
Oregon Other DG1609 BLUE CROSS
Oregon Other XPY145960 BLUE CROSS

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