Individual
SCOTT J CHASTEK
Active
Individual
SCOTT J CHASTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA / ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
D126589
IA
367500000X
Certified Registered Nurse Anesthetist
076713
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
D126589
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
901662000
—
MN
01
—
918N4CH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/03/2007
Last updated
04/20/2023
Update your record
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