MEDICARE: MR. JAMES FRANK SABATINOS APN, BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	549058	TX

General Provider Information

NPI Number	:	1992713291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES FRANK SABATINOS APN, BC

Provider Business Mailing Address
First Line	:	2844 FOREST VIEW DR NE
Second Line	:
City	:	BEMIDJI
State	:	MN
Zip	:	56601-9145
Country	:	US
Telephone Number	:	218-679-3912
Fax Number	:	218-679-3912

Provider Business Practice Location Address
First Line	:	2844 FOREST VIEW DR NE
Second Line	:
City	:	BEMIDJI
State	:	MN
Zip	:	56601-9145
Country	:	US
Telephone Number	:	218-333-1312
Fax Number	:	218-679-0181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	11/14/2007

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