Mitchell J Roggenbuck in Crookston - Addiction (substance Use Disorder)

Mitchell J Roggenbuck - NPI 1811164411

Mitchell J Roggenbuck is a Addiction (substance Use Disorder) in Crookston, Minnesota. Mitchell J Roggenbuck practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mitchell J Roggenbuck is 1811164411. The last update date is 2008-05-13.

Mitchell J Roggenbuck's current location address is 323 S Minnesota St, Crookston, Minnesota. You can contact this provider via phone number 2184633447. The mailing address for Mitchell J Roggenbuck is 323 S Minnesota St, Crookston, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell J Roggenbuck
Address 323 S Minnesota St, Crookston, Minnesota
Phone Number 2184633447
Fax Number
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1811164411
Provider Enumeration Date 2008-05-13
Last Updated Date 2008-05-13

Provider Mailing Address Detail

Address 323 S Minnesota St
City Crookston
State Minnesota (MN)
Post Code 567161601
Phone Number 2184633447
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 301204
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mitchell J Roggenbuck

What is the Mitchell J Roggenbuck's unique identification number?

The Mitchell J Roggenbuck has been assigned the NPI (National Provider Identifier) Number 1811164411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Mitchell J Roggenbuck is located?

The Mitchell J Roggenbuck is situated at the following address: 323 S Minnesota St, Crookston, MN, 567161601.

What is Mitchell J Roggenbuck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mitchell J Roggenbuck's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did Mitchell J Roggenbuck receive its 1811164411 assignment from the Centers for Medicare & Medicaid Services?

The Mitchell J Roggenbuck was assigned its 1811164411 on 2008-05-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mitchell J Roggenbuck's information last updated?

The Mitchell J Roggenbuck's information was last updated on 2008-05-13.

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