Derrick Roosevelt Bledsoe in Detroit - Addiction (substance Use Disorder)
Derrick Roosevelt Bledsoe - NPI 1477683183
Derrick Roosevelt Bledsoe is a Addiction (substance Use Disorder) in Detroit, Michigan. Derrick Roosevelt Bledsoe practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Derrick Roosevelt Bledsoe is 1477683183. The last update date is 2007-07-08.
Derrick Roosevelt Bledsoe's current location address is 13731 Allonby St, Detroit, Michigan. You can contact this provider via phone number 3134934410 and fax number 3134934415. The mailing address for Derrick Roosevelt Bledsoe is 13731 Allonby St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Roosevelt Bledsoe |
|---|---|
| Address | 13731 Allonby St, Detroit, Michigan |
| Phone Number | 3134934410 |
| Fax Number | 3134934415 |
| Sole Proprietor | N |
| Credentials | CAC-1 |
NPI Number Detail
| NPI Number | 1477683183 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13731 Allonby St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482273031 |
| Phone Number | 3134934410 |
| Fax Number | 3134934415 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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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 Derrick Roosevelt Bledsoe by the Centers for Medicare & Medicaid Services?
The Derrick Roosevelt Bledsoe has been assigned the NPI (National Provider Identifier) 1477683183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Derrick Roosevelt Bledsoe?
The Derrick Roosevelt Bledsoe is situated at 13731 Allonby St, in the city of Detroit, state of MI, with the zip code 482273031.
What is Derrick Roosevelt Bledsoe's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derrick Roosevelt Bledsoe is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Derrick Roosevelt Bledsoe receive its 1477683183 assignment from the Centers for Medicare & Medicaid Services?
The Derrick Roosevelt Bledsoe was assigned its 1477683183 by the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date was the information regarding Derrick Roosevelt Bledsoe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derrick Roosevelt Bledsoe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.