Charles William Dodge in Owosso - Addiction (substance Use Disorder)
Charles William Dodge - NPI 1295940690
Charles William Dodge is a Addiction (substance Use Disorder) in Owosso, Michigan. Charles William Dodge practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charles William Dodge is 1295940690. The last update date is 2007-07-09.
Charles William Dodge's current location address is 123 S Washington St, Owosso, Michigan. You can contact this provider via phone number 9897230330 and fax number 9897230327. The mailing address for Charles William Dodge is 123 S Washington St, Owosso, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles William Dodge |
|---|---|
| Address | 123 S Washington St, Owosso, Michigan |
| Phone Number | 9897230330 |
| Fax Number | 9897230327 |
| Sole Proprietor | N |
| Credentials | PLC |
NPI Number Detail
| NPI Number | 1295940690 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 123 S Washington St |
|---|---|
| City | Owosso |
| State | Michigan (MI) |
| Post Code | 488672921 |
| Phone Number | 9897230330 |
| Fax Number | 9897230327 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6401005935 |
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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 |
|---|---|---|---|
| 1016541 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles William Dodge by the Centers for Medicare & Medicaid Services?
The Charles William Dodge has been assigned the NPI (National Provider Identifier) 1295940690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Charles William Dodge's facilities are situated?
The facilities of Charles William Dodge are physically located at the following address: 123 S Washington St, Owosso, MI, 488672921.
What is Charles William Dodge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles William Dodge is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When did Charles William Dodge receive its 1295940690 assignment?
The Charles William Dodge was assigned its 1295940690 on 2007-05-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Charles William Dodge most recently updated or revised?
The information pertaining to Charles William Dodge, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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