John Marcus Blakeslee in Great Bend - Addiction (substance Use Disorder)
John Marcus Blakeslee - NPI 1326260795
John Marcus Blakeslee is a Addiction (substance Use Disorder) in Great Bend, Kansas. John Marcus Blakeslee practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Marcus Blakeslee is 1326260795. The last update date is 2014-11-06.
John Marcus Blakeslee's current location address is 5815 Broadway Ave, Great Bend, Kansas. You can contact this provider via phone number 6207922544 and fax number 6207927052. The mailing address for John Marcus Blakeslee is 5815 Broadway Ave, Great Bend, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Marcus Blakeslee |
|---|---|
| Address | 5815 Broadway Ave, Great Bend, Kansas |
| Phone Number | 6207922544 |
| Fax Number | 6207927052 |
| Sole Proprietor | N |
| Credentials | LCMFT, MS |
NPI Number Detail
| NPI Number | 1326260795 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-11-06 |
Provider Mailing Address Detail
| Address | 5815 Broadway Ave |
|---|---|
| City | Great Bend |
| State | Kansas (KS) |
| Post Code | 675303123 |
| Phone Number | 6207922544 |
| Fax Number | 6207927052 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCAC 007 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1700904513 | KS | NPI |
Post Comment/ Review Below
What is the John Marcus Blakeslee's 1326260795?
The John Marcus Blakeslee's NPI (National Provider Identifier) Number is 1326260795. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Marcus Blakeslee?
The John Marcus Blakeslee is situated at 5815 Broadway Ave, in the city of Great Bend, state of KS, with the zip code 675303123.
What is John Marcus Blakeslee's area of expertise and its corresponding taxonomy classification?
The John Marcus Blakeslee's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did John Marcus Blakeslee receive its 1326260795 assignment from the Centers for Medicare & Medicaid Services?
The John Marcus Blakeslee was assigned its 1326260795 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to John Marcus Blakeslee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Marcus Blakeslee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-11-06.