1922272970 NPI number — DR. DAVID PETER ABELSETH MD

Table of content: DR. DAVID PETER ABELSETH MD (NPI 1922272970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922272970 NPI number — DR. DAVID PETER ABELSETH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABELSETH
Provider First Name:
DAVID
Provider Middle Name:
PETER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1922272970
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 266
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RED DEER
Provider Business Mailing Address State Name:
ALBERTA
Provider Business Mailing Address Postal Code:
T4N5E8
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
403-314-1100
Provider Business Mailing Address Fax Number:
403-314-1178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4610-48 AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED DEER
Provider Business Practice Location Address State Name:
ALBERTA
Provider Business Practice Location Address Postal Code:
T4N359
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
403-314-1100
Provider Business Practice Location Address Fax Number:
403-314-1178
Provider Enumeration Date:
04/21/2008

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: 2084P0804X , with the licence number:  9326 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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