Tim J Mcvicker in Warsaw - Addiction (substance Use Disorder)
Tim J Mcvicker - NPI 1154416709
Tim J Mcvicker is a Addiction (substance Use Disorder) in Warsaw, Indiana. Tim J Mcvicker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tim J Mcvicker is 1154416709. The last update date is 2007-07-08.
Tim J Mcvicker's current location address is 850 N. Harrison St., Warsaw, Indiana. You can contact this provider via phone number 5742677169 and fax number 5742693995. The mailing address for Tim J Mcvicker is 850 N. Harrison St., Warsaw, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim J Mcvicker |
|---|---|
| Address | 850 N. Harrison St., Warsaw, Indiana |
| Phone Number | 5742677169 |
| Fax Number | 5742693995 |
| Sole Proprietor | N |
| Credentials | CADAC II |
NPI Number Detail
| NPI Number | 1154416709 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 850 N. Harrison St. |
|---|---|
| City | Warsaw |
| State | Indiana (IN) |
| Post Code | 46580 |
| Phone Number | 5742677169 |
| Fax Number | 5742693995 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | A1431R |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tim J Mcvicker by the Centers for Medicare & Medicaid Services?
The Tim J Mcvicker has been assigned the NPI (National Provider Identifier) 1154416709. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tim J Mcvicker is physically located?
The Tim J Mcvicker is physically situated at the following address: 850 N. Harrison St., Warsaw, IN, 46580.
What is the Tim J Mcvicker's area of specialization and corresponding taxonomy classification?
The Tim J Mcvicker'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 originally issue the 1154416709 to Tim J Mcvicker?
The Centers for Medicare & Medicaid Services originally issued the 1154416709 to Tim J Mcvicker on 2006-10-03.
As of what date were the details related to Tim J Mcvicker most recently updated or revised?
The information pertaining to Tim J Mcvicker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.