Alvin Ewing in Fairfield - Addiction (substance Use Disorder)

Alvin Ewing - NPI 1063600773

Alvin Ewing is a Addiction (substance Use Disorder) in Fairfield, Illinois. Alvin Ewing practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alvin Ewing is 1063600773. The last update date is 2007-10-09.

Alvin Ewing's current location address is 407 N. Basin Road, Fairfield, Illinois. You can contact this provider via phone number 6188422125 and fax number 6188424154. The mailing address for Alvin Ewing is 407 N. Basin Road, Fairfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Alvin Ewing
Address 407 N. Basin Road, Fairfield, Illinois
Phone Number 6188422125
Fax Number 6188424154
Sole Proprietor N
Credentials CADC

NPI Number Detail

NPI Number 1063600773
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 407 N. Basin Road
City Fairfield
State Illinois (IL)
Post Code 62837
Phone Number 6188422125
Fax Number 6188424154

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 15735
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Alvin Ewing

What is the unique provider identifier assigned to Alvin Ewing?

The Alvin Ewing has been issued the NPI (National Provider Identifier) 1063600773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Alvin Ewing?

The Alvin Ewing is situated at 407 N. Basin Road, in the city of Fairfield, state of IL, with the zip code 62837.

What is Alvin Ewing's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alvin Ewing is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063600773 to Alvin Ewing?

The Alvin Ewing received its 1063600773 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.

When was the Alvin Ewing's information last updated?

The Alvin Ewing's information was last updated on 2007-10-09.

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