Provider Demographics
NPI:1770597932
Name:CLAASSEN, PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:CLAASSEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 CREEKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2771
Mailing Address - Country:US
Mailing Address - Phone:937-593-9842
Mailing Address - Fax:
Practice Address - Street 1:935 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1911
Practice Address - Country:US
Practice Address - Phone:513-831-5955
Practice Address - Fax:513-831-5985
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-5203-C207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE00647Medicare UPIN
OHCL0863872Medicare ID - Type UnspecifiedMILFORD MEDICARE #
OHCL0863875Medicare ID - Type UnspecifiedCOLERAIN MEDICARE #
OHCL0863874Medicare ID - Type UnspecifiedMIDDLETOWN MEDICARE #
OHCL0863876Medicare ID - Type UnspecifiedKETTERING MEDICARE #
OHCL0863871Medicare ID - Type UnspecifiedSPRINGDALE MEDICARE #
OHCL0863872Medicare ID - Type UnspecifiedMILFORD MEDICARE #