Provider Demographics
NPI:1609636760
Name:BINEGAR, NASH
Entity Type:Individual
Prefix:
First Name:NASH
Middle Name:
Last Name:BINEGAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 CUMBERLAND LOOP
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-8506
Mailing Address - Country:US
Mailing Address - Phone:701-202-4342
Mailing Address - Fax:
Practice Address - Street 1:4213 CUMBERLAND LOOP
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-8506
Practice Address - Country:US
Practice Address - Phone:701-202-4342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program