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Contact Information

GERMAINE E CHESLOCK, OD
1611 ANNE ST NW
BEMIDJI, MN56601-5114
 Phone: 218-333-2020
 Fax: 218-333-2019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for GERMAINE E CHESLOCK · (Female)

NPI Number 1154468890
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/31/2007
Last updated 02/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2300
  • MN Medicaid 571725600
  • Other HP57666 HEALTHPARTNERS
  • Other 2204340 MEDICA
  • Other 1011212 PREFERREDONE
  • MN Other 942G7CH MN BCBS
  • ND Other 28642 ND BCBS
Hospital affiliation(s)
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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