Shelley D Wise in Carmel - Addiction (substance Use Disorder)

Shelley D Wise - NPI 1578566451

Shelley D Wise is a Addiction (substance Use Disorder) in Carmel, California. Shelley D Wise practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shelley D Wise is 1578566451. The last update date is 2018-09-10.

Shelley D Wise's current location address is 245 Crossroads Blvd, Carmel, California. You can contact this provider via phone number 8313730985 and fax number 8316200711. The mailing address for Shelley D Wise is 245 Crossroads Blvd, Carmel, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelley D Wise
Address 245 Crossroads Blvd, Carmel, California
Phone Number 8313730985
Fax Number 8316200711
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1578566451
Provider Enumeration Date 2005-05-24
Last Updated Date 2018-09-10

Provider Mailing Address Detail

Address 245 Crossroads Blvd
City Carmel
State California (CA)
Post Code 9392386500
Phone Number 8313730985
Fax Number 8316200711

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No R1318520818
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7703084230006 CA CIGNA
DC0204430 CA BLUE SHIELD
770308423 CA BLUE CROSS

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FAQs about Shelley D Wise

What is the unique 10-digit identification code issued to Shelley D Wise by the Centers for Medicare & Medicaid Services?

The Shelley D Wise has been assigned the NPI (National Provider Identifier) 1578566451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

What is Shelley D Wise's area of expertise and its corresponding taxonomy classification?

The Shelley D Wise's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578566451 to Shelley D Wise?

The Centers for Medicare & Medicaid Services originally issued the 1578566451 to Shelley D Wise on 2005-05-24.

As of what date were the details pertaining to Shelley D Wise last refreshed?

The information related to the Shelley D Wise, including its address, specialty, and other relevant details, was last updated on 2018-09-10.

When was the information regarding Shelley D Wise, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shelley D Wise, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-09-10.

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