Keith Boone in Riverside - Addiction (substance Use Disorder)
Keith Boone - NPI 1174667091
Keith Boone is a Addiction (substance Use Disorder) in Riverside, California. Keith Boone practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Keith Boone is 1174667091. The last update date is 2007-07-08.
Keith Boone's current location address is 1827 Atlanta Ave, Riverside, California. You can contact this provider via phone number 9519552105. The mailing address for Keith Boone is 1827 Atlanta Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Boone |
|---|---|
| Address | 1827 Atlanta Ave, Riverside, California |
| Phone Number | 9519552105 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174667091 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1827 Atlanta Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925077419 |
| Phone Number | 9519552105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Keith Boone by the Centers for Medicare & Medicaid Services?
The Keith Boone has been assigned the NPI (National Provider Identifier) 1174667091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keith Boone's physical address?
The Keith Boone is physically located at 1827 Atlanta Ave, in the city of Riverside, CA, with the postal code 925077419.
What is the Keith Boone's area of specialization and corresponding taxonomy classification?
The Keith Boone'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 did the Centers for Medicare & Medicaid Services originally issue the 1174667091 to Keith Boone?
The Centers for Medicare & Medicaid Services originally issued the 1174667091 to Keith Boone on 2007-02-16.
When was the information regarding Keith Boone most recently updated?
The details pertaining to the Keith Boone, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1376546309
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