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 |
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Address | 407 N. Basin Road, Fairfield, Illinois |
Phone Number | 6188422125 |
Fax Number | 6188424154 |
Sole Proprietor | N |
Credentials | CADC |
NPI Number Detail
NPI Number | 1063600773 |
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Provider Enumeration Date | 2007-10-09 |
Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
Address | 407 N. Basin Road |
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City | Fairfield |
State | Illinois (IL) |
Post Code | 62837 |
Phone Number | 6188422125 |
Fax Number | 6188424154 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 15735 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
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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