Tyrone Peterkin in Napa - Addiction (substance Use Disorder)

Tyrone Peterkin - NPI 1992825590

Tyrone Peterkin is a Addiction (substance Use Disorder) in Napa, California. Tyrone Peterkin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tyrone Peterkin is 1992825590. The last update date is 2007-07-08.

Tyrone Peterkin's current location address is 2261 Elm St, Napa, California. You can contact this provider via phone number 7072536049 and fax number 7072598716. The mailing address for Tyrone Peterkin is 2261 Elm St, Napa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyrone Peterkin
Address 2261 Elm St, Napa, California
Phone Number 7072536049
Fax Number 7072598716
Sole Proprietor Y
Credentials RAS

NPI Number Detail

NPI Number 1992825590
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2261 Elm St
City Napa
State California (CA)
Post Code 945593721
Phone Number 7072536049
Fax Number 7072598716

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No P0509011605
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
P0509011605 CA RAS

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FAQs about Tyrone Peterkin

What is the Tyrone Peterkin's 1992825590?

The Tyrone Peterkin's NPI (National Provider Identifier) Number is 1992825590. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Tyrone Peterkin?

The Tyrone Peterkin is physically situated at 2261 Elm St, in the city of Napa, state of CA, with the postal code 945593721.

What is Tyrone Peterkin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tyrone Peterkin is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did Tyrone Peterkin receive its 1992825590 assignment from the Centers for Medicare & Medicaid Services?

The Tyrone Peterkin was assigned its 1992825590 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Tyrone Peterkin's information last updated?

The Tyrone Peterkin's information was last updated on 2007-07-08.

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