1710974928 NPI number — DR. TANIS MINETTE BATSEL MD, MPH

Table of content: DR. TANIS MINETTE BATSEL MD, MPH (NPI 1710974928)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710974928 NPI number — DR. TANIS MINETTE BATSEL MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATSEL
Provider First Name:
TANIS
Provider Middle Name:
MINETTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710974928
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1021 N GARFIELD ST APT 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22201-2555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-762-3500
Provider Business Mailing Address Fax Number:
202-762-3490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BUREAU OF MEDICINE & SURGERY (M3C1)
Provider Second Line Business Practice Location Address:
2300 E ST. NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20372-5300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-762-3500
Provider Business Practice Location Address Fax Number:
202-762-3490
Provider Enumeration Date:
10/03/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2083P0901X , with the licence number:  0101051203 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)