Jerry Alan Shaver in Woodland - Addiction (substance Use Disorder)

Jerry Alan Shaver - NPI 1659560027

Jerry Alan Shaver is a Addiction (substance Use Disorder) in Woodland, California. Jerry Alan Shaver practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jerry Alan Shaver is 1659560027. The last update date is 2007-10-22.

Jerry Alan Shaver's current location address is 178 W Beamer St, Woodland, California. You can contact this provider via phone number 5306668655. The mailing address for Jerry Alan Shaver is 178 W Beamer St, Woodland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Alan Shaver
Address 178 W Beamer St, Woodland, California
Phone Number 5306668655
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1659560027
Provider Enumeration Date 2007-10-22
Last Updated Date 2007-10-22

Provider Mailing Address Detail

Address 178 W Beamer St
City Woodland
State California (CA)
Post Code 956952663
Phone Number 5306668655
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 Jerry Alan Shaver

What is the Jerry Alan Shaver's unique identification number?

The Jerry Alan Shaver has been assigned the NPI (National Provider Identifier) Number 1659560027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jerry Alan Shaver?

The Jerry Alan Shaver is physically situated at 178 W Beamer St, in the city of Woodland, state of CA, with the postal code 956952663.

What is Jerry Alan Shaver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerry Alan Shaver's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

When did the Jerry Alan Shaver receive its 1659560027?

The Jerry Alan Shaver was issued its 1659560027 on 2007-10-22, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jerry Alan Shaver, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jerry Alan Shaver, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-22.

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