| Pospishil And Associates, Pllc | |
|
1425 21st Ave Nw Minot ND 58703-0816 | |
| (701) 858-0888 | |
| Not Available |
| Full Name | Pospishil And Associates, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1425 21st Ave Nw, Minot, North Dakota |
| Authorized Official Name and Position | Charles F Pospishil (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7018580888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pospishil And Associates, Pllc Po Box 427 Minot ND 58702-0427 Ph: (701) 858-0888 | Pospishil And Associates, Pllc 1425 21st Ave Nw Minot ND 58703-0816 Ph: (701) 858-0888 |
| NPI Number | 1134426463 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 3375867351 |
|---|---|
| Medicare Enrollment ID | O20150122000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134426463 | NPI | - | NPPES |
| 1396144366 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41 (North Dakota) | Primary |
| Provider Name | Charles Pospishil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871680488 PECOS PAC ID: 7214022599 Enrollment ID: I20071002000143 |
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