Chad Bevilacqua in Lake Elsinore - Addiction (substance Use Disorder)

Chad Bevilacqua - NPI 1699950725

Chad Bevilacqua is a Addiction (substance Use Disorder) in Lake Elsinore, California. Chad Bevilacqua practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Chad Bevilacqua is 1699950725. The last update date is 2008-01-08.

Chad Bevilacqua's current location address is 600 3rd St, Lake Elsinore, California. You can contact this provider via phone number 9516745354 and fax number 9516745227. The mailing address for Chad Bevilacqua is 600 3rd St, Lake Elsinore, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad Bevilacqua
Address 600 3rd St, Lake Elsinore, California
Phone Number 9516745354
Fax Number 9516745227
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1699950725
Provider Enumeration Date 2008-01-08
Last Updated Date 2008-01-08

Provider Mailing Address Detail

Address 600 3rd St
City Lake Elsinore
State California (CA)
Post Code 925302748
Phone Number 9516745354
Fax Number 9516745227

Provider's Primary Taxonomy Detail

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

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FAQs about Chad Bevilacqua

What is the unique 10-digit identifier code assigned to Chad Bevilacqua by the Centers for Medicare & Medicaid Services?

The Chad Bevilacqua has been issued the NPI (National Provider Identifier) 1699950725 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Chad Bevilacqua's physical address?

The Chad Bevilacqua is physically located at 600 3Rd St, in the city of Lake Elsinore, CA, with the postal code 925302748.

What is the Chad Bevilacqua's area of specialization and corresponding taxonomy classification?

The Chad Bevilacqua's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date was the 1699950725 assigned to Chad Bevilacqua?

The Chad Bevilacqua was issued its 1699950725 on 2008-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Chad Bevilacqua most recently updated or refreshed?

The details pertaining to the Chad Bevilacqua, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-08.

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