Mitchell Jat Moore in Rochester - Addiction (substance Use Disorder)
Mitchell Jat Moore - NPI 1841340601
Mitchell Jat Moore is a Addiction (substance Use Disorder) in Rochester, Minnesota. Mitchell Jat Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mitchell Jat Moore is 1841340601. The last update date is 2007-07-08.
Mitchell Jat Moore's current location address is 614 Wooddale Ct Nw, Rochester, Minnesota. You can contact this provider via phone number 5072826075. The mailing address for Mitchell Jat Moore is 614 Wooddale Ct Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Jat Moore |
|---|---|
| Address | 614 Wooddale Ct Nw, Rochester, Minnesota |
| Phone Number | 5072826075 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1841340601 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 614 Wooddale Ct Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559012472 |
| Phone Number | 5072826075 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 300769 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code assigned to Mitchell Jat Moore by the Centers for Medicare & Medicaid Services?
The Mitchell Jat Moore has been issued the NPI (National Provider Identifier) 1841340601, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mitchell Jat Moore's physical address?
The Mitchell Jat Moore is physically located at 614 Wooddale Ct Nw, in the city of Rochester, MN, with the postal code 559012472.
What is Mitchell Jat Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mitchell Jat Moore'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 the Centers for Medicare & Medicaid Services issue the 1841340601 to Mitchell Jat Moore?
The Mitchell Jat Moore received its 1841340601 assignment from the Centers for Medicare & Medicaid Services on 2007-01-11.
When was the Mitchell Jat Moore's information last updated?
The Mitchell Jat Moore's information was last updated on 2007-07-08.
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