Russel Damien Buskirk in Wilmington - Addiction (substance Use Disorder)
Russel Damien Buskirk - NPI 1619015179
Russel Damien Buskirk is a Addiction (substance Use Disorder) in Wilmington, Delaware. Russel Damien Buskirk practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Russel Damien Buskirk is 1619015179. The last update date is 2012-09-25.
Russel Damien Buskirk's current location address is 410 Foulk Rd, Wilmington, Delaware. You can contact this provider via phone number 3027622285 and fax number 3027622286. The mailing address for Russel Damien Buskirk is 410 Foulk Rd, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russel Damien Buskirk |
|---|---|
| Address | 410 Foulk Rd, Wilmington, Delaware |
| Phone Number | 3027622285 |
| Fax Number | 3027622286 |
| Sole Proprietor | Y |
| Credentials | LCSW, LCDP |
NPI Number Detail
| NPI Number | 1619015179 |
|---|---|
| Provider Enumeration Date | 2007-02-04 |
| Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
| Address | 410 Foulk Rd |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 1980338200 |
| Phone Number | 3027622285 |
| Fax Number | 3027622286 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CD-0000006 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006603272 | DE | BUSINESS LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Russel Damien Buskirk?
The Russel Damien Buskirk has been issued the NPI (National Provider Identifier) 1619015179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Russel Damien Buskirk is geographically located?
The Russel Damien Buskirk is physically situated at the following location: 410 Foulk Rd, Wilmington, DE, 1980338200.
What is Russel Damien Buskirk's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Russel Damien Buskirk is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date was the 1619015179 assigned to Russel Damien Buskirk?
The Russel Damien Buskirk was issued its 1619015179 on 2007-02-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Russel Damien Buskirk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Russel Damien Buskirk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-25.