Jack Selberg in Atchison - Addiction (substance Use Disorder)
Jack Selberg - NPI 1124216130
Jack Selberg is a Addiction (substance Use Disorder) in Atchison, Kansas. Jack Selberg practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jack Selberg is 1124216130. The last update date is 2007-10-04.
Jack Selberg's current location address is 1816 N 2nd St, Atchison, Kansas. You can contact this provider via phone number 9133671618 and fax number 9133676224. The mailing address for Jack Selberg is 1816 N 2nd St, Atchison, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Selberg |
|---|---|
| Address | 1816 N 2nd St, Atchison, Kansas |
| Phone Number | 9133671618 |
| Fax Number | 9133676224 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124216130 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 1816 N 2nd St |
|---|---|
| City | Atchison |
| State | Kansas (KS) |
| Post Code | 660021004 |
| Phone Number | 9133671618 |
| Fax Number | 9133676224 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LMLP0209, L |
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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 Jack Selberg by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Selberg has been assigned the NPI (National Provider Identifier) 1124216130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jack Selberg's facilities are situated?
The facilities of Jack Selberg are physically located at the following address: 1816 N 2Nd St, Atchison, KS, 660021004.
What is the Jack Selberg's specialty and taxonomy code?
The Jack Selberg's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did Jack Selberg receive its 1124216130 assignment from the Centers for Medicare & Medicaid Services?
The Jack Selberg was assigned its 1124216130 on 2007-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jack Selberg most recently updated?
The details pertaining to the Jack Selberg, including its address, specialty, and other relevant information, were last refreshed on 2007-10-04.
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