David Bruce Sjostrom in Bemidji - Addiction (substance Use Disorder)
David Bruce Sjostrom - NPI 1598950792
David Bruce Sjostrom is a Addiction (substance Use Disorder) in Bemidji, Minnesota. David Bruce Sjostrom practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David Bruce Sjostrom is 1598950792. The last update date is 2007-09-11.
David Bruce Sjostrom's current location address is 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota. You can contact this provider via phone number 2184445740 and fax number 2183330241. The mailing address for David Bruce Sjostrom is 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Bruce Sjostrom |
|---|---|
| Address | 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota |
| Phone Number | 2184445740 |
| Fax Number | 2183330241 |
| Sole Proprietor | N |
| Credentials | B.A., LADC |
NPI Number Detail
| NPI Number | 1598950792 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 1510 Bemidji Ave N Ste 13 |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566013804 |
| Phone Number | 2184445740 |
| Fax Number | 2183330241 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 301521 |
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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 provider identifier assigned to David Bruce Sjostrom?
The David Bruce Sjostrom has been issued the NPI (National Provider Identifier) 1598950792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the David Bruce Sjostrom's physical address?
The David Bruce Sjostrom is physically located at 1510 Bemidji Ave N Ste 13, in the city of Bemidji, MN, with the postal code 566013804.
What is David Bruce Sjostrom'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 David Bruce Sjostrom is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1598950792 assigned to David Bruce Sjostrom?
The David Bruce Sjostrom was issued its 1598950792 on 2007-09-11, 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 pertaining to David Bruce Sjostrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Bruce Sjostrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-11.