Ivan Jay Dill in San Andreas - Addiction (substance Use Disorder)

Ivan Jay Dill - NPI 1962549428

Ivan Jay Dill is a Addiction (substance Use Disorder) in San Andreas, California. Ivan Jay Dill practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ivan Jay Dill is 1962549428. The last update date is 2007-07-08.

Ivan Jay Dill's current location address is Po Box 131, San Andreas, California. You can contact this provider via phone number 2097549748. The mailing address for Ivan Jay Dill is Po Box 131, San Andreas, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivan Jay Dill
Address Po Box 131, San Andreas, California
Phone Number 2097549748
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1962549428
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 131
City San Andreas
State California (CA)
Post Code 952490131
Phone Number 2097549748
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Ivan Jay Dill

What is the unique identifier code issued to Ivan Jay Dill by the Centers for Medicare & Medicaid Services?

The Ivan Jay Dill has been assigned the NPI (National Provider Identifier) 1962549428. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Ivan Jay Dill is physically located?

The Ivan Jay Dill is physically situated at the following address: Po Box 131, San Andreas, CA, 952490131.

What is the area of specialization for Ivan Jay Dill, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ivan Jay Dill is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did Ivan Jay Dill receive its 1962549428 assignment from the Centers for Medicare & Medicaid Services?

The Ivan Jay Dill was assigned its 1962549428 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Ivan Jay Dill most recently updated or revised?

The information pertaining to Ivan Jay Dill, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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