Richard Allan Diwald in Lakeport - Addiction (substance Use Disorder)
Richard Allan Diwald - NPI 1861558678
Richard Allan Diwald is a Addiction (substance Use Disorder) in Lakeport, California. Richard Allan Diwald practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Richard Allan Diwald is 1861558678. The last update date is 2007-07-08.
Richard Allan Diwald's current location address is 991 Parallel Dr, Lakeport, California. You can contact this provider via phone number 7072638162 and fax number 7072639336. The mailing address for Richard Allan Diwald is 991 Parallel Dr, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allan Diwald |
|---|---|
| Address | 991 Parallel Dr, Lakeport, California |
| Phone Number | 7072638162 |
| Fax Number | 7072639336 |
| Sole Proprietor | Y |
| Credentials | RAS |
NPI Number Detail
| NPI Number | 1861558678 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 991 Parallel Dr |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954535720 |
| Phone Number | 7072638162 |
| Fax Number | 7072639336 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | D0412282000 |
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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 10-digit identification code assigned to Richard Allan Diwald by the Centers for Medicare & Medicaid Services?
The Richard Allan Diwald has been issued the NPI (National Provider Identifier) 1861558678, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Allan Diwald's physical address?
The Richard Allan Diwald is physically located at 991 Parallel Dr, in the city of Lakeport, CA, with the postal code 954535720.
What is the Richard Allan Diwald's specialty and taxonomy code?
The Richard Allan Diwald's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Richard Allan Diwald receive the assignment of its 1861558678 from the Centers for Medicare & Medicaid Services?
The Richard Allan Diwald was issued its 1861558678 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the details pertaining to Richard Allan Diwald last refreshed?
The information related to the Richard Allan Diwald, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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