Jerry Lewis Alvin in Cheyenne - Addiction (substance Use Disorder)

Jerry Lewis Alvin - NPI 1356308951

Jerry Lewis Alvin is a Addiction (substance Use Disorder) in Cheyenne, . Jerry Lewis Alvin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jerry Lewis Alvin is 1356308951. The last update date is 2007-07-08.

Jerry Lewis Alvin's current location address is 2360 E Pershing Blvd, Cheyenne, . You can contact this provider via phone number 3077787550 and fax number 3077787393. The mailing address for Jerry Lewis Alvin is 2360 E Pershing Blvd, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Lewis Alvin
Address 2360 E Pershing Blvd, Cheyenne,
Phone Number 3077787550
Fax Number 3077787393
Sole Proprietor X
Credentials CAP

NPI Number Detail

NPI Number 1356308951
Provider Enumeration Date 2006-04-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2360 E Pershing Blvd
City Cheyenne
State (WY)
Post Code 820015356
Phone Number 3077787550
Fax Number 3077787393

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CAP046A
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jerry Lewis Alvin

What is the unique identifier code issued to Jerry Lewis Alvin by the Centers for Medicare & Medicaid Services (CMS)?

The Jerry Lewis Alvin has been assigned the NPI (National Provider Identifier) 1356308951. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jerry Lewis Alvin located?

The Jerry Lewis Alvin is located at 2360 E Pershing Blvd, Cheyenne, WY 820015356.

What is Jerry Lewis Alvin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry Lewis Alvin's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

When did the Jerry Lewis Alvin receive its 1356308951?

The Jerry Lewis Alvin was issued its 1356308951 on 2006-04-27, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Jerry Lewis Alvin most recently updated or revised?

The information pertaining to Jerry Lewis Alvin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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