John Palmer Crum in Edwardsville - Addiction (substance Use Disorder)

John Palmer Crum - NPI 1245431022

John Palmer Crum is a Addiction (substance Use Disorder) in Edwardsville, Illinois. John Palmer Crum practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Palmer Crum is 1245431022. The last update date is 2013-09-10.

John Palmer Crum's current location address is 95 N Research Dr Ste 110, Edwardsville, Illinois. You can contact this provider via phone number 6186926880 and fax number 3146673108. The mailing address for John Palmer Crum is 95 N Research Dr Ste 110, Edwardsville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John Palmer Crum
Address 95 N Research Dr Ste 110, Edwardsville, Illinois
Phone Number 6186926880
Fax Number 3146673108
Sole Proprietor N
Credentials LCPC, LPC

NPI Number Detail

NPI Number 1245431022
Provider Enumeration Date 2007-05-30
Last Updated Date 2013-09-10

Provider Mailing Address Detail

Address 95 N Research Dr Ste 110
City Edwardsville
State Illinois (IL)
Post Code 620253604
Phone Number 6186926880
Fax Number 3146673108

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 180004715
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
262844611 IL STATE
262844611 IL IL

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FAQs about John Palmer Crum

What is the unique 10-digit identification code assigned to John Palmer Crum by the Centers for Medicare & Medicaid Services?

The John Palmer Crum has been issued the NPI (National Provider Identifier) 1245431022, 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 location address where John Palmer Crum's facilities are situated?

The facilities of John Palmer Crum are physically located at the following address: 95 N Research Dr Ste 110, Edwardsville, IL, 620253604.

What is the John Palmer Crum's area of specialization and corresponding taxonomy classification?

The John Palmer Crum's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1245431022 to John Palmer Crum?

The John Palmer Crum received its 1245431022 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.

As of what date were the details pertaining to John Palmer Crum last refreshed?

The information related to the John Palmer Crum, including its address, specialty, and other relevant details, was last updated on 2013-09-10.

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