John Harry Heidtke in Marysville - Addiction (substance Use Disorder)

John Harry Heidtke - NPI 1588788863

John Harry Heidtke is a Addiction (substance Use Disorder) in Marysville, Michigan. John Harry Heidtke practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Harry Heidtke is 1588788863. The last update date is 2007-07-08.

John Harry Heidtke's current location address is 1600 Gratiot Blvd, Marysville, Michigan. You can contact this provider via phone number 8103645800 and fax number 8103641200. The mailing address for John Harry Heidtke is 1600 Gratiot Blvd, Marysville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John Harry Heidtke
Address 1600 Gratiot Blvd, Marysville, Michigan
Phone Number 8103645800
Fax Number 8103641200
Sole Proprietor Y
Credentials M.A., LMSW

NPI Number Detail

NPI Number 1588788863
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 Gratiot Blvd
City Marysville
State Michigan (MI)
Post Code 480401145
Phone Number 8103645800
Fax Number 8103641200

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 68010111112
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about John Harry Heidtke

What is the unique identifier code issued to John Harry Heidtke by the Centers for Medicare & Medicaid Services?

The John Harry Heidtke has been assigned the NPI (National Provider Identifier) 1588788863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Harry Heidtke is located?

The John Harry Heidtke is situated at the following address: 1600 Gratiot Blvd, Marysville, MI, 480401145.

What is John Harry Heidtke's area of expertise and its corresponding taxonomy classification?

The John Harry Heidtke'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 was the 1588788863 assigned to John Harry Heidtke?

The John Harry Heidtke was issued its 1588788863 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding John Harry Heidtke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Harry Heidtke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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