Basic Information
Provider Information
NPI: 1770597932
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CLAASSEN
FirstName: PAUL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 808 CREEKVIEW CT
Address2:  
City: BELLEFONTAINE
State: OH
PostalCode: 433112771
CountryCode: US
TelephoneNumber: 9375939842
FaxNumber:  
Practice Location
Address1: 935 STATE ROUTE 28
Address2:  
City: MILFORD
State: OH
PostalCode: 451501911
CountryCode: US
TelephoneNumber: 5138315955
FaxNumber: 5138315985
Other Information
ProviderEnumerationDate: 07/27/2006
LastUpdateDate: 06/19/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X35-07-5203-COHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home