Jeffrey A Edwards in East Moline - Addiction (substance Use Disorder)

Jeffrey A Edwards - NPI 1376731000

Jeffrey A Edwards is a Addiction (substance Use Disorder) in East Moline, Illinois. Jeffrey A Edwards practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeffrey A Edwards is 1376731000. The last update date is 2011-01-24.

Jeffrey A Edwards's current location address is 926 15th Ave, East Moline, Illinois. You can contact this provider via phone number 3097529740 and fax number 3097529744. The mailing address for Jeffrey A Edwards is 926 15th Ave, East Moline, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey A Edwards
Address 926 15th Ave, East Moline, Illinois
Phone Number 3097529740
Fax Number 3097529744
Sole Proprietor Y
Credentials MDIV, CADC

NPI Number Detail

NPI Number 1376731000
Provider Enumeration Date 2007-10-09
Last Updated Date 2011-01-24

Provider Mailing Address Detail

Address 926 15th Ave
City East Moline
State Illinois (IL)
Post Code 612442138
Phone Number 3097529740
Fax Number 3097529744

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No A-8601-0002-
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jeffrey A Edwards

What is the unique 10-digit identification code assigned to Jeffrey A Edwards by the Centers for Medicare & Medicaid Services?

The Jeffrey A Edwards has been issued the NPI (National Provider Identifier) 1376731000, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jeffrey A Edwards is geographically located?

The Jeffrey A Edwards is physically situated at the following location: 926 15Th Ave, East Moline, IL, 612442138.

What is the area of specialization for Jeffrey A Edwards, and what is the corresponding taxonomy classification code for this field?

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

When did the Jeffrey A Edwards receive its 1376731000?

The Jeffrey A Edwards was issued its 1376731000 on 2007-10-09, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Jeffrey A Edwards, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey A Edwards, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-24.

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