Joel Andre Quillin in Fremont - Addiction (substance Use Disorder)
Joel Andre Quillin - NPI 1659569812
Joel Andre Quillin is a Addiction (substance Use Disorder) in Fremont, California. Joel Andre Quillin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Joel Andre Quillin is 1659569812. The last update date is 2007-10-11.
Joel Andre Quillin's current location address is 4510 Peralta Blvd, Fremont, California. You can contact this provider via phone number 5107133202 and fax number 5107130684. The mailing address for Joel Andre Quillin is 4510 Peralta Blvd, Fremont, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joel Andre Quillin |
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Address | 4510 Peralta Blvd, Fremont, California |
Phone Number | 5107133202 |
Fax Number | 5107130684 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1659569812 |
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Provider Enumeration Date | 2007-10-11 |
Last Updated Date | 2007-10-11 |
Provider Mailing Address Detail
Address | 4510 Peralta Blvd |
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City | Fremont |
State | California (CA) |
Post Code | 945365755 |
Phone Number | 5107133202 |
Fax Number | 5107130684 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | Q0412282011 |
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 |
---|---|---|---|
Q0412282011 | CA | BREINING INSTITUTE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Joel Andre Quillin?
The Joel Andre Quillin has been issued the NPI (National Provider Identifier) 1659569812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Joel Andre Quillin is geographically located?
The Joel Andre Quillin is physically situated at the following location: 4510 Peralta Blvd, Fremont, CA, 945365755.
What is Joel Andre Quillin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joel Andre Quillin is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did Joel Andre Quillin receive its 1659569812 assignment from the Centers for Medicare & Medicaid Services?
The Joel Andre Quillin was assigned its 1659569812 on 2007-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Joel Andre Quillin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joel Andre Quillin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-11.
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