Individual
DR. NICOLE CHAISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 E 28TH ST., UFP SMILEY'S CLINIC, MINNEAPOLIS, MN 55407
(612) 333-0770
(612) 333-1986
Mailing address
2020 E 28TH ST., UMPHYSICIANS SMILEY'S CLINIC, MINNEAPOLIS, MN 55407
(612) 333-0770
(612) 333-1986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44929
MN
207QA0000X
Adolescent Medicine (Family Medicine) Physician
44929
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19354
MEDICA CHOICE & PRIMARY
MN
05
—
0586313
—
IA
01
—
1034699
PREFERRED ONE
MN
01
—
171902
UCARE
MN
01
—
2298998
ARAZ
MN
01
—
551T1CH
BCBS
MN
01
—
HP39171
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
02/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us